GIDON F GOLDENBERG (Credential# 546749) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GIDON F GOLDENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027733. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 100 Broadway, North Haven, CT 06473-2365. The current status is active.
| Licensee Name | GIDON F GOLDENBERG |
| Credential ID | 546749 |
| Credential Number | 1.027733 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Broadway North Haven CT 06473-2365 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-10-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154520 | CSP.0015053 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 100 BROADWAY |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2365 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric P Liben | 100 Broadway, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ilene Kroop | 100 Broadway, North Haven, CT 06473 | Medication Administration Certification | 2003-05-02 ~ 2005-05-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Perfect Pet | 98 Broadway, North Haven, CT 06473-2365 | Grooming Facility | 2017-01-01 ~ 2018-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Goldenberg | 107 Newtown Road, Danbury, CT 06810 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| David Goldenberg Md | 9 St Ronan Terrace, New Haven, CT 06511 | Physician/surgeon | 1997-01-27 ~ 1998-03-31 |
| Arnold Goldenberg Md | 179 North Main Street, West Hartford, CT 06107-1258 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Murry A Goldenberg Textiles | 1601 Valley View Ln, Farmers Branch, TX 75234 | Supply Dealer of Bedding & Upholstered Furniture | 2006-05-01 ~ 2007-04-30 |
| Lisa Goldenberg | Pmb 173, Guilford, CT 06437 | Massage Therapist | 2007-11-27 ~ 2009-11-30 |
| Stuart I Goldenberg | 45-27 47th Street, Woodside, NY 11377 | Veterinarian | 2002-03-15 ~ 2003-04-30 |
| Evan L Goldenberg | 1 Jofran Lane, Greenwich, CT 06830-4706 | Architect | 2020-08-01 ~ 2021-07-31 |
| Edward J Goldenberg | 530 Bushy Hill Rd, Simsbury, CT 06070 | Optometrist | 2011-05-01 ~ 2012-04-30 |
| Rena Goldenberg | 76 Shepherd La, Orange, CT 06477 | Registered Nurse | 1996-07-16 ~ 1997-08-31 |
| Lori G Goldenberg-alderman | 35 Warrington Round, Danbury, CT 06810-5170 | Electrologist | 2020-04-01 ~ 2022-03-31 |
Please comment or provide details below to improve the information on GIDON F GOLDENBERG.
| 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).