MIDDLETOWN HIGH SCHOOL (Credential# 1305228) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
MIDDLETOWN HIGH SCHOOL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000592. The credential type is psychiatric outpatient clinic. The effective date is July 1, 2019. The expiration date is June 30, 2023. The business address is 200 La Rosa Ln, Middletown, CT 06457-2148. The current status is active.
| Licensee Name | MIDDLETOWN HIGH SCHOOL |
| Business Name | MIDDLETOWN HIGH SCHOOL |
| Doing Business As | MIDDLETOWN HIGH SCHOOL |
| Credential ID | 1305228 |
| Credential Number | POCA.0000592 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
200 La Rosa Ln Middletown CT 06457-2148 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-14 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2019-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1420301 | RAFF.04369-CL 2 | RAFFLE PERMIT CLASS 2 | 2017-05-04 - 2017-05-18 | CLOSED | |
| 1348430 | RAFF.03561-CL 1 | RAFFLE PERMIT CLASS 1 | 2016-04-25 - 2016-05-12 | CLOSED | |
| 1266553 | RAFF.02534-CL 2 | RAFFLE PERMIT CLASS 2 | 2015-03-24 - 2015-04-12 | PENDING | |
| 1213729 | RAFF.01849-CL 2 | RAFFLE PERMIT CLASS 2 | 2014-03-27 | 2014-03-27 - 2014-04-12 | CLOSED |
| 1116709 | RAFF.00453-CL 2 | RAFFLE PERMIT CLASS 2 | 2012-08-15 | 2012-08-15 - 2012-10-13 | CLOSED |
| 1123203 | BAZR.00181 | BAZAAR PERMIT CLASS 3 | 2011-08-27 - 2011-08-27 | INACTIVE |
| Street Address | 200 LA ROSA LN |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2148 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center's Middletown High School School Based Health Center | 200 La Rosa Ln, Middletown, CT 06457-2148 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Middletown High School Blue Dragon Booster Club Inc | 200 La Rosa Ln, Middletown, CT 06457-2148 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Middletown High School | 200 La Rosa Ln, Middletown, CT 06457-2148 | Raffle Permit Class 2 | 2017-05-04 ~ 2017-05-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Warde High School | 755 Melville Ave, Fairfield, CT 06825-2050 | Psychiatric Outpatient Clinic | 2015-08-13 ~ 2019-06-30 |
| Ledyard High School | 24 Gallup Hill Rd, Ledyard, CT 06339-1512 | Psychiatric Outpatient Clinic | 2017-09-25 ~ 2021-06-30 |
| Thomaston High School | 185 Branch Rd, Thomaston, CT 06787-1984 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Berlin High School | 139 Patterson Way, Berlin, CT 06037-3146 | Psychiatric Outpatient Clinic | 2016-09-27 ~ 2020-06-30 |
| Newington High School | 605 Willard Ave, Newington, CT 06111-2648 | Psychiatric Outpatient Clinic | 2018-09-10 ~ 2022-06-30 |
| New Milford High School | 388 Danbury Rd, New Milford, CT 06776-4317 | Psychiatric Outpatient Clinic | 2016-07-19 ~ 2020-06-30 |
| Greenwich High School | 10 Hillside Rd, Greenwich, CT 06830-4835 | Psychiatric Outpatient Clinic | 2017-02-16 ~ 2020-12-31 |
| Weston High School | 115 School Rd, Weston, CT 06883-1623 | Psychiatric Outpatient Clinic | 2016-07-19 ~ 2020-06-30 |
| Daniel Hand High School | 286 Green Hill Rd, Madison, CT 06443-2283 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Brien Mcmahon High School | 125 East Ave, Norwalk, CT 06852 | Psychiatric Outpatient Clinic | 2017-09-25 ~ 2021-06-30 |
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| 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).