FEDERICO GOROSTIAGA MD (Credential# 526506) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
FEDERICO GOROSTIAGA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045204. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 242 E 80 St Apt 1a, New York, NY 06082-3341. The current status is inactive.
| Licensee Name | FEDERICO GOROSTIAGA MD |
| Credential ID | 526506 |
| Credential Number | CSP.0045204 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
242 E 80 St Apt 1a New York NY 06082-3341 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-03-10 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563431 | 1.045849 | Physician/Surgeon | 2007-09-10 | 2011-07-01 - 2012-06-30 | INACTIVE |
| 483509 | CSP.0042650 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-26 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 242 E 80 ST Apt 1a |
| City | NEW YORK |
| State | NY |
| Zip Code | 06082-3341 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khin May Tun | 2231 Bigelow Cmns, Enfield, CT 06082-3341 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Jihee Choi | 2202 Bigelow Cmns, Enfield, CT 06082-3341 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-05-28 ~ 2022-03-31 |
| Julie Herring | 2205 Bigelow Commons, Enfield, CT 06082-3341 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Magnacartavape | 2211 Bigelow Cmns, Enfield, CT 06082-3341 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2018-09-17 ~ 2019-02-28 |
| Julie A Prepura | 2216 Bigelow Cmns, Enfield, CT 06082-3341 | Occupational Therapist | 2019-02-08 ~ 2019-07-31 |
| Hanna K Sullivan | 2203 Bigelow Cmns Apt 203, Enfield, CT 06082-3341 | Radiographer | 2019-11-01 ~ 2020-10-31 |
| Parveer S Gill | 2242 Bigelow Cmns, Enfield, CT 06082-3341 | Engineer-in-training | 2018-04-16 ~ 2028-04-16 |
| Shannon R Yiznitsky | 2226 Bigelow Commons, Enfield, CT 06082-3341 | Registered Nurse | 2015-08-01 ~ 2016-07-31 |
| Avineet K Boparai | 2242 Bigelow Cmns, Enfield, CT 06082-3341 | Dentist | 2017-07-01 ~ 2018-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | NEW YORK |
| Zip Code | 06082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Federico Md | 330 Orchard St Ste 300, New Haven, CT 06511-4430 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Federico E Vaca Md | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Federico Zuniga Md | 455 Main St Apt 14-a, New York, NY 10044 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Federico Rossi Md | 237 Green St Apt #1, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arturo Federico | 913 Highcroft Pl, Weatogue, CT 06089-7920 | Controlled Substance Registration for Practitioner | 2019-05-24 ~ 2021-02-28 |
| Ramses Federico Ayala | 61 Green St Apt B, Westwood, NJ 07675-3016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank N Federico | 48 Green Ridge Road, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Federico Andres Delgado Hernandez | Department of Medicine 3rd Fl, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Federico & Sette PC | Po Box 185220, Hamden, CT 06518 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
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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).