BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES (Credential# 1384967) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2016. The license expiration date date is September 30, 2020. The license status is ACTIVE.
BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000807. The credential type is outpatient clinic. The effective date is September 26, 2016. The expiration date is September 30, 2020. The business address is 36 Waller Street, Middletown, CT 06457. The current status is active.
| Licensee Name | BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES |
| Business Name | BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES |
| Doing Business As | BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1384967 |
| Credential Number | OPC.0000807 |
| Credential Type | Outpatient Clinic |
| Business Address |
36 Waller Street Middletown CT 06457 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-18 |
| Effective Date | 2016-09-26 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2016-10-18 |
| Street Address | 36 WALLER STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| 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 | Outpatient Clinic |
| License Type + County | Outpatient Clinic + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bennie Dover Jackson Middle School Based Health Center | 36 Waller St, New London, CT 06320-5216 | Outpatient Clinic | 2018-07-01 ~ 2021-06-30 |
| Slade Middle School Based Health Services | 183 Steele Street, New Britain, CT 06052 | Outpatient Clinic | 2016-10-04 ~ 2020-09-30 |
| Washington Middle School Based Health Services | 1225 Broad St, Meriden, CT 06450-2495 | Outpatient Clinic | 2019-10-07 ~ 2022-12-31 |
| Roton Middle School Based Health Services | 201 Highland Avenue, Norwalk, CT 06853 | Outpatient Clinic | 2016-09-22 ~ 2020-09-30 |
| Pulaski Middle School Based Health Services | 757 Farmington Avenue, New Britain, CT 06052 | Outpatient Clinic | 2016-10-04 ~ 2020-09-30 |
| Community Health Center Pawcatuck Middle School Based Health Services | 40 Field Street, North Stonington, CT 06359 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| Community Health Center Pearson Middle School Based Health Services | 2 Wetmore Ave, Winsted, CT 06098 | Outpatient Clinic | 2017-07-14 ~ 2021-06-30 |
| Carmen Arace Intermediate/middle School Based Health Services | 390 Park Avenue, Bloomfield, CT 06002 | Outpatient Clinic | 2016-09-28 ~ 2020-09-30 |
| Sage Park Middle School Based Health Services | 25 Sage Park Road, Windsor, CT 06095 | Outpatient Clinic | 2017-01-10 ~ 2020-12-31 |
| Community Health Center Portland Middle/high School Based Health Services | 93 High Street, Portland, CT 06480 | Outpatient Clinic | 2018-01-29 ~ 2020-12-31 |
Please comment or provide details below to improve the information on BENNIE DOVER JACKSON MIDDLE SCHOOL BASED HEALTH SERVICES.
| 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).