KENNETH B GOLDMAN
Controlled Substance Registration for Practitioner


Address: 311 North St Ste 401, White Plains, NY 10605-2232

KENNETH B GOLDMAN (Credential# 1992502) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KENNETH B GOLDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072920. The credential type is controlled substance registration for practitioner. The effective date is December 18, 2019. The expiration date is February 28, 2021. The business address is 311 North St Ste 401, White Plains, NY 10605-2232. The current status is active.

Basic Information

Licensee Name KENNETH B GOLDMAN
Credential ID 1992502
Credential Number CSP.0072920
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 311 North St Ste 401
White Plains
NY 10605-2232
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-12-18
Effective Date 2019-12-18
Expiration Date 2021-02-28
Refresh Date 2019-12-19

Other licenses

ID Credential Code Credential Type Issue Term Status
551749 1.034150 Physician/Surgeon 1994-11-10 2019-10-01 - 2020-09-30 ACTIVE
162263 CSP.0022697 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 311 NORTH ST STE 401
City WHITE PLAINS
State NY
Zip Code 10605-2232

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Competitor

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City WHITE PLAINS
Zip Code 10605
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WHITE PLAINS

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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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