Griffin hospital (Credential# 1300316) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is INACTIVE.
Griffin hospital is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061010. The credential type is controlled substance registration for practitioner. The business address is 130 Division St, Derby, CT 06418. The current status is inactive.
| Licensee Name | Griffin hospital |
| Business Name | Griffin hospital |
| Credential ID | 1300316 |
| Credential Number | CSP.0061010 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
130 Division St Derby CT 06418 |
| Business Type | BUSINESS |
| Status | INACTIVE |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 930529 | GH.0000034 | General Hospital | 2009-10-01 | 2019-10-01 - 2021-09-30 | ACTIVE |
| 1048840 | NATP.000092-GH | Nurse Aide Training Program-Hospital | 2011-05-05 | 2011-05-05 - 2020-08-15 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Griffin Hospital | Pharmacy Dept, Derby, CT 06418 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Street Address | 130 division st |
| City | derby |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ricardo Concepcion Gomez | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Anwesh Poosala | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Da Young Ryu | 130 Division St, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Genevieve C Kela | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Inshiya Dawoodi | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sovit Dahal | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Rosa Constantino | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Ivanshi Gondalia | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Angad Gill | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Douglas Palacios | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | derby |
| Zip Code | 06418 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nida Ashraf | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James R Hamblin | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sapna Raghunathan | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dorothea Wild Md | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wilfredo Cadelina Md · Griffin Hospital | 25 Ridge Road, Bethany, CT 06525 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edmund Griffin | The Stamford Hospital, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Griffin Hospital Development Fund Inc. | 130 Division Street, Derby, CT 06418 | Public Charity-exempt From Financial Requirements | ~ |
| Smilow Cancer Hospital | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sharon Hospital | 50 Hospital Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | ~ |
| Mount Sinai Hospital Pharmacy | Day Hospital Program, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Please comment or provide details below to improve the information on Griffin hospital.
| 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).