LEWIS S GOLDBERG
Psychologist


Address: 65 Sonoma Lane, Middletown, CT 06457

LEWIS S GOLDBERG (Credential# 789243) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.

Business Overview

LEWIS S GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.000780. The credential type is psychologist. The effective date is January 1, 2011. The expiration date is December 31, 2011. The business address is 65 Sonoma Lane, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name LEWIS S GOLDBERG
Credential ID 789243
Credential Number 8.000780
Credential Type Psychologist
Business Address 65 Sonoma Lane
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-12-04
Effective Date 2011-01-01
Expiration Date 2011-12-31
Refresh Date 2012-04-03

Office Location

Street Address 65 Sonoma Lane
City Middletown
State CT
Zip Code 06457

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Shannon Lee Mcquillan 5 Forest Glen Circle, Middletown, CT 06457 Registered Nurse 2020-06-26 ~ 2020-09-30
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Competitor

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City Middletown
Zip Code 06457
License Type Psychologist
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Dataset Information

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).

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