ELLIOT GOODMAN MD (Credential# 173672) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
ELLIOT GOODMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024254. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 3671 Hudson Manor Terr, Bronx, NY 10463. The current status is inactive.
| Licensee Name | ELLIOT GOODMAN MD |
| Credential ID | 173672 |
| Credential Number | CSP.0024254 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3671 Hudson Manor Terr Bronx NY 10463 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | 3671 HUDSON MANOR TERR |
| City | BRONX |
| State | NY |
| Zip Code | 10463 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
| Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10463 | |||
| City | BRONX |
| Zip Code | 10463 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elliot R Singer Md | 78 Old Lyme Rd, Chappaqua, NY 10514-3814 | Controlled Substance Registration for Practitioner | 2009-11-25 ~ 2011-02-28 |
| Elliot Ellis | 265 College St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-26 ~ 2005-02-28 |
| Elliot R Mayo Md | 464 Congress Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Emily Elliot | 595 Clark Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ashlee P Goodman | 199 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caren R Goodman | 118 Concord Dr, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Trevor F Goodman | 7 Maytime Dr, Jericho, NY 11753-2231 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Elizabeth A Goodman | 90 Red Oak Hill Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gordon Goodman Md | 101 Academy St, Manlius, NY 13104 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jory F Goodman Md | Po Box 1027, Amherst, NH 03031-1027 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
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| 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).