JOHNSON MEMORIAL HOSPITAL INC OF STAFFORD SPRINGS CT (Credential# 1050937) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOHNSON MEMORIAL HOSPITAL INC OF STAFFORD SPRINGS CT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051951. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 142 Hazard Avenue, Enfield, CT 06082-4520. The current status is active.
| Licensee Name | JOHNSON MEMORIAL HOSPITAL INC OF STAFFORD SPRINGS CT |
| Business Name | JOHNSON MEMORIAL HOSPITAL INC OF STAFFORD SPRINGS CT |
| Credential ID | 1050937 |
| Credential Number | CSP.0051951 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
142 Hazard Avenue Enfield CT 06082-4520 |
| Business Type | COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-03-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 148 Hazard Ave, Enfield, CT 06083 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 201 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Street Address | 142 HAZARD AVENUE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hemant K Panchal, Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| The Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Robert P Dudek | 140 Hazard Ave Ste 101, Enfield, CT 06082-4520 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeffrey C Wint | 115 Elm Street Suite 208, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Northeast Regional Radiation Oncology Network Inc. · Community Cancercare | 142 Hazard Ave, Enfield, CT 06082-4520 | Outpatient Clinic | 2012-10-01 ~ 2016-09-30 |
| Carla Desantis Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Timothy Machon | 170 Hazard Ave, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Satish Panchal · Jug Shop (the) | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2019-09-29 ~ 2020-09-28 |
| Richard T Martin | 115 Elm Street, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in zip 06082-4520 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson Memorial Hospital Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2014-01-01 ~ 2015-12-31 |
| Johnson Memorial Hospital, Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2020-01-01 ~ 2021-12-31 |
| Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Frozen Dessert Retailer | 2020-01-24 ~ 2020-12-31 |
| Johnson Memorial Hospital | Route 190, Chestnut Hill, Stafford Springs, CT 06076 | Public Charity-exempt From Financial Requirements | ~ |
| Teen Volunteer Action Council of Johnson Memorial Hospital | 201 Chestnut Hill Road, Stafford Springs, CT 06076 | Public Charity-exempt From Financial Requirements | ~ |
| Florence Odutola | Johnson Memorial Hospital, Stafford Springs, CT 06076 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Johnson Memorial Medical Center | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Bazaar Permit Class 3 | 2014-08-25 ~ 2014-08-25 |
| Billy C Johnson Md | 72 II West Stafford Rd, Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 2005-07-08 ~ 2006-02-28 |
| John J Kriz | Johnson Memorial Hsp, Stafford Springs, CT 06076 | Physician/surgeon | 1998-11-02 ~ 1999-12-31 |
| Middlesex Memorial Hospital | Middlesex Med Ctr Shoreline, Essex, CT 06426 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on JOHNSON MEMORIAL HOSPITAL INC OF STAFFORD SPRINGS CT.
| 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).