JEFFREY P GOLDMAN MD
Controlled Substance Registration for Practitioner


Address: Northeast Radiology PC, Brewster, NY 10509

JEFFREY P GOLDMAN MD (Credential# 182746) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

JEFFREY P GOLDMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025773. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is Northeast Radiology PC, Brewster, NY 10509. The current status is inactive.

Basic Information

Licensee Name JEFFREY P GOLDMAN MD
Credential ID 182746
Credential Number CSP.0025773
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Northeast Radiology PC
Brewster
NY 10509
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553670 1.036078 Physician/Surgeon 1997-06-06 1997-12-17 - 1999-01-31 INACTIVE

Office Location

Street Address NORTHEAST RADIOLOGY PC
City BREWSTER
State NY
Zip Code 10509

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Competitor

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City BREWSTER
Zip Code 10509
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BREWSTER

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Dataset Information

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).

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