STANLEY E GOODMAN MD (Credential# 538973) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2008. The license expiration date date is May 31, 2009. The license status is INACTIVE.
STANLEY E GOODMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007760. The credential type is physician/surgeon. The effective date is March 25, 2008. The expiration date is May 31, 2009. The business address is 40 Pequot Trail, Westport, CT 06880. The current status is inactive.
| Licensee Name | STANLEY E GOODMAN MD |
| Credential ID | 538973 |
| Credential Number | 1.007760 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Pequot Trail Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1955-01-10 |
| Effective Date | 2008-03-25 |
| Expiration Date | 2009-05-31 |
| Refresh Date | 2009-09-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153214 | CSP.0005476 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 40 PEQUOT TRAIL |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven R Goodman | Po Box 325, Wallingford, CT 06492 | Physician/surgeon | 1989-08-11 ~ 1992-01-31 |
| William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
| Susan Marion Goodman | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Daniel W Goodman | 58 Arch St, Riverside, CT 06878-1924 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tobias M Goodman Md | 41 East Ave, Westerly, RI 02891 | Physician/surgeon | 1999-05-20 ~ 2000-06-30 |
| Margaret M. Goodman | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Caren L Kurtz Goodman | 140 Florence Avenue, Rye, NY 10580-1107 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alan H Goodman | 1 Church Street, New Haven, CT 06510 | Physician/surgeon | 2007-10-04 ~ 2008-09-30 |
| Wayne K Goodman | Univ of Florida, Gainesville, FL 32610-0256 | Physician/surgeon | 1997-01-23 ~ 1998-01-31 |
| Alvin I Goodman | W-chestr Med Center, Valhalla, NY 10595 | Physician/surgeon | 2003-07-07 ~ 2004-07-31 |
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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).