JEFFREY M GOLDSON MD
Controlled Substance Registration for Practitioner


Address: 168 Evergreen Drive, Westbury, NY 11590

JEFFREY M GOLDSON MD (Credential# 262380) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

JEFFREY M GOLDSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030455. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 168 Evergreen Drive, Westbury, NY 11590. The current status is inactive.

Basic Information

Licensee Name JEFFREY M GOLDSON MD
Credential ID 262380
Credential Number CSP.0030455
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 168 Evergreen Drive
Westbury
NY 11590
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556793 1.039207 Physician/Surgeon 2000-12-28 2001-09-28 - 2002-10-31 INACTIVE

Office Location

Street Address 168 EVERGREEN DRIVE
City WESTBURY
State NY
Zip Code 11590

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City WESTBURY
Zip Code 11590
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTBURY

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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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