Adam D Goldstein Md Controlled Substance Registration for Practitioner
1 Hickory Court, East Lyme, CT 06333


Adam D Goldstein Md is licensed in the eLicensing system of Connecticut. The license credential ID is 1261142. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 1 Hickory Court, East Lyme, CT 06333. The zip code is 06333.


Adam D Goldstein Md · 1 Hickory Court, East Lyme, CT 06333

Credential ID 1261142
Name ADAM D GOLDSTEIN MD
Type INDIVIDUAL
Address 1 Hickory Court
East Lyme, CT 06333
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0059178
Credential Type CSP
Credential Number 59178
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 01/03/2015
Effective Date 01/03/2015
Expiration Date 02/28/2017
Record Refresh Date 01/05/201

ADAM D GOLDSTEIN MD · Connecticut Business

Adam D Goldstein Md · Controlled Substance Registration for Practitioner 1 Hickory Court, East Lyme, CT 06333
Adam D Goldstein Md · Physician/surgeon 1 Hickory Court, East Lyme, CT 06333

Zip 06333 · Controlled Substance Registration for Practitioner · Connecticut Business

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