JASON MICHAEL GOODMAN (Credential# 2038629) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JASON MICHAEL GOODMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073777. The credential type is controlled substance registration for practitioner. The effective date is April 23, 2020. The expiration date is February 28, 2021. The business address is 100 W 93rd St Apt 18k, New York, NY 10025-0028. The current status is active.
| Licensee Name | JASON MICHAEL GOODMAN |
| Credential ID | 2038629 |
| Credential Number | CSP.0073777 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 W 93rd St Apt 18k New York NY 10025-0028 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-23 |
| Effective Date | 2020-04-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2006694 | 1.065120 | Physician/Surgeon | 2020-04-02 | 2020-04-02 - 2020-11-30 | ACTIVE |
| Street Address | 100 W 93RD ST APT 18K |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-0028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Goodman Dds | 19635 North Cave Creek Road, Phoenix, AZ 85024 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael Goodman · Goodman Building Company | 7 Jason Wright Dr, Ansonia, CT 06401-2618 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Jason Michael Altman | Integrated Anesthesia Associates, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gordon Goodman Md | 101 Academy St, Manlius, NY 13104 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Elizabeth A Goodman | 90 Red Oak Hill Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Caren R Goodman | 118 Concord Dr, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jory F Goodman Md | Po Box 1027, Amherst, NH 03031-1027 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Trevor F Goodman | 7 Maytime Dr, Jericho, NY 11753-2231 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Ashlee P Goodman | 199 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Doris H Goodman | 2 Brownstone Ridge, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1995-08-08 ~ 1997-02-28 |
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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).