BRYAN GODDUHN (Credential# 1677638) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRYAN GODDUHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072036. The credential type is controlled substance registration for practitioner. The effective date is July 23, 2019. The expiration date is February 28, 2021. The business address is 207 George St Apt 515, Middletown, CT 06457-6701. The current status is active.
| Licensee Name | BRYAN GODDUHN |
| Credential ID | 1677638 |
| Credential Number | CSP.0072036 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
207 George St Apt 515 Middletown CT 06457-6701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-23 |
| Effective Date | 2019-07-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1668667 | 10.162691 | Registered Nurse | 2019-07-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1668666 | 12.008336 | Advanced Practice Registered Nurse | 2019-07-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1670598 | 10.161631-TEMP | Registered Nurse - Temporary | 2019-06-21 | 2019-06-21 - 2019-10-19 | INACTIVE |
| Street Address | 207 GEORGE ST APT 515 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-6701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Claire Maguire | 207 George St Apt 512, Middletown, CT 06457-6701 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Bartlett | 207 George St Apt 516, Middletown, CT 06457-6701 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth O'bryan | 207 George St Apt 507, Middletown, CT 06457-6701 | Notary Public Appointment | 2017-11-01 ~ 2022-10-31 |
| Victoria L Simpson | 207 George St Apt 509, Middletown, CT 06457-6701 | Engineer-in-training | 2019-08-09 ~ 2029-08-09 |
| Carly N Haining | 207 George St Apt 508, Middletown, CT 06457-6701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori J Rosano · Rosano | 207 George St Apt 501, Middletown, CT 06457-6701 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Maryam Rostami Dds | 207 George St Apt 516, Middletown, CT 06457-6701 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan S Jay Md | 9 Harbour Rd, Barrington, RI 02806-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan Too | 4k Staunton Ct, Farmington, CT 06032-3622 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Bryan T Suchecki | 33 Lafayette St, Newburyport, MA 01950 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bryan P Masterson | 24 Ironwood Dr, Pennellville, NY 13132-3143 | Controlled Substance Registration for Practitioner | 2011-07-07 ~ 2013-02-28 |
| Bryan P Rowe | 319 West St, Middletown, CT 06457-4008 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Bryan Kerner | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | ~ |
| Bryan D Siegel | 12 Swarthmore Ln, Dix Hills, NY 11746-4829 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bryan Hampton Pa | 69 Chester St, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Bryan L Richards Md | 190 Tomlinson Ave #16b, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Richard Bryan Md | 8 Lenox Pl, Middletown, NY 10940-5506 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BRYAN GODDUHN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).