PRESTON J GOLDSMITH PA
Controlled Substance Registration for Practitioner


Address: 11 Glenwolde Park, Tarrytown, NY 10591

PRESTON J GOLDSMITH PA (Credential# 446804) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

PRESTON J GOLDSMITH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040173. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 11 Glenwolde Park, Tarrytown, NY 10591. The current status is inactive.

Basic Information

Licensee Name PRESTON J GOLDSMITH PA
Credential ID 446804
Credential Number CSP.0040173
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Glenwolde Park
Tarrytown
NY 10591
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2006-08-16
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2008-07-15

Other licenses

ID Credential Code Credential Type Issue Term Status
743532 23.001783 Physician Assistant 2006-07-10 2007-03-21 - 2007-06-19 INACTIVE

Office Location

Street Address 11 GLENWOLDE PARK
City TARRYTOWN
State NY
Zip Code 10591

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Competitor

Search similar business entities

City TARRYTOWN
Zip Code 10591
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TARRYTOWN

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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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