RICHARD J. GOLDBAUM
Controlled Substance Registration for Practitioner


Address: 81 Evergreen Rd, Natick, MA 01760-1633

RICHARD J. GOLDBAUM (Credential# 934733) 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.

Business Overview

RICHARD J. GOLDBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047739. 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 81 Evergreen Rd, Natick, MA 01760-1633. The current status is inactive.

Basic Information

Licensee Name RICHARD J. GOLDBAUM
Credential ID 934733
Credential Number CSP.0047739
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 81 Evergreen Rd
Natick
MA 01760-1633
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-06-10
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
926576 1.048757 Physician/Surgeon 2010-05-24 2011-03-01 - 2012-02-29 INACTIVE

Office Location

Street Address 81 EVERGREEN RD
City NATICK
State MA
Zip Code 01760-1633

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Competitor

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City NATICK
Zip Code 01760
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NATICK

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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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