DAVID J GOLDBERG MD (Credential# 559983) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 3, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
DAVID J GOLDBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042401. The credential type is physician/surgeon. The effective date is March 3, 2005. The expiration date is March 31, 2006. The business address is 87 Linden St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | DAVID J GOLDBERG MD |
| Credential ID | 559983 |
| Credential Number | 1.042401 |
| Credential Type | Physician/Surgeon |
| Business Address |
87 Linden St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-05-04 |
| Effective Date | 2005-03-03 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 368292 | CSP.0034830 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-05-25 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 87 LINDEN ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly R Varela | 87 Linden St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Goldberg | 405 Summit Dr, Corte Madera, CA 94925-1345 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David J Goldberg | 20 Prospect Avenue, Suite 702, Hackensack, NJ 07601 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Joseph F Goldberg Md | 128 East Ave, Norwalk, CT 06851-5738 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Pablo H Goldberg Md | 501 W 110th St Apt 9c, New York, NY 10025-2060 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Eugene L Goldberg | 186 Old Ridgefield, Wilton, CT 06897 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Sheldon S Goldberg | 2 Medical Ctr Dr, Springfield, MA 01107 | Physician/surgeon | 1993-06-24 ~ 1994-08-31 |
| Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jeffrey R Goldberg Md | 25 Collins Rd, Bristol, CT 06010 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jana Goldberg | 156 W. 56th Street, New York, NY 08033 | Physician/surgeon | ~ |
| Arnold R. Goldberg | 61 Brook Rd, Sharon, MA 02067-1415 | Physician/surgeon | 1984-05-01 ~ 1985-05-31 |
Please comment or provide details below to improve the information on DAVID J GOLDBERG 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).