GORDON GOODMAN MD (Credential# 52599) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
GORDON GOODMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024814. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 101 Academy St, Manlius, NY 13104. The current status is inactive.
| Licensee Name | GORDON GOODMAN MD |
| Credential ID | 52599 |
| Credential Number | CSP.0024814 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 Academy St Manlius NY 13104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2002-03-01 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553156 | 1.035563 | Physician/Surgeon | 1996-09-13 | 1997-08-11 - 1998-08-31 | INACTIVE |
| Street Address | 101 ACADEMY ST |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan V Dannenhoffer | 8472 Woodbox Rd, Manlius, NY 13104 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laurie G Cavanaugh | 167 Edwards Falls Lane, Manlius, NY 13104 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Robert Milano | 15b Carriage House E, Manlius, NY 13104 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven M Kaplan | 8203 Old Sunrdge Dr, Manlius, NY 13104 | Optometrist | 2020-01-01 ~ 2020-12-31 |
| David I Feiglin | 4728 Limberlost Ln, Manlius, NY 13104 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Karam Elsaha Bakery Co | 102 Fairgrounds Dr, Manlius, NY 13104 | Bakery | 2001-07-05 ~ 2002-06-30 |
| Nicole M Harf | 311 West Seneca St Apt 17b, Manlius, NY 13104 | Registered Nurse | 2015-09-01 ~ 2016-09-30 |
| Narindar K Bhandari · Nk Bhandari Cnslt Engrs | 8228 Verbeck Dr, Manlius, NY 13104 | Professional Engineer | 1991-01-16 ~ 1992-01-31 |
| David C Widrig | 4951 Fayetteville Manlius Rd, Manlius, NY 13104 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Jonathan L Preston | 4629 Emblem Circle, Manlius, NY 13104 | Speech and Language Pathologist | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 13104 | |||
| City | MANLIUS |
| Zip Code | 13104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANLIUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trevor F Goodman | 7 Maytime Dr, Jericho, NY 11753-2231 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Jory F Goodman Md | Po Box 1027, Amherst, NH 03031-1027 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Caren R Goodman | 118 Concord Dr, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ashlee P Goodman | 199 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth A Goodman | 90 Red Oak Hill Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Doris H Goodman | 2 Brownstone Ridge, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1995-08-08 ~ 1997-02-28 |
| Jason Michael Goodman | 100 W 93rd St Apt 18k, New York, NY 10025-0028 | Controlled Substance Registration for Practitioner | 2020-04-23 ~ 2021-02-28 |
| Lindsay L Goodman | 100 Parrott Dr Unit 913, Shelton, CT 06484-4791 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marvin M Goodman | 797 Farmington Ave, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Arlene M Goodman | 282 Washington St 4h Education Dept, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on GORDON GOODMAN MD.
| 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).