MOODY ELEMENTARY SCHOOL BASED HEALTH SERVICES (Credential# 1389254) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is October 18, 2016. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MOODY ELEMENTARY SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000828. The credential type is outpatient clinic. The effective date is October 18, 2016. The expiration date is September 30, 2020. The business address is 300 Country Club Road, Middletown, CT 06457. The current status is active.
| Licensee Name | MOODY ELEMENTARY SCHOOL BASED HEALTH SERVICES |
| Business Name | MOODY ELEMENTARY SCHOOL BASED HEALTH SERVICES |
| Doing Business As | MOODY ELEMENTARY SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1389254 |
| Credential Number | OPC.0000828 |
| Credential Type | Outpatient Clinic |
| Business Address |
300 Country Club Road Middletown CT 06457 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-15 |
| Effective Date | 2016-10-18 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2016-11-15 |
| Street Address | 300 COUNTRY CLUB ROAD |
| 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 |
|---|---|---|---|
| Jefferson Elementary School Based Health Services | 140 Horse Plain Road, New Britain, CT 06053 | Outpatient Clinic | 2016-10-04 ~ 2020-09-30 |
| Community Health Center Marvin Elementary School Based Health Services · Health Servicescommunity Health Center Marvin Elementary School Based | 15 Calf Pasture Beach Road, Norwalk, CT 06855 | Outpatient Clinic | 2017-11-15 ~ 2021-12-31 |
| Spencer Elementary School Based Health Services | 207 Westfield Street, Middletown, CT 06457 | Outpatient Clinic | 2017-01-18 ~ 2020-12-31 |
| Brookside Elementary School Based Health Services | 382 Highland Avenue, Norwalk, CT 06854 | Outpatient Clinic | 2016-09-30 ~ 2020-09-30 |
| Kendall Elementary School Based Health Services | 57 Fillow Street, Norwalk, CT 06850 | Outpatient Clinic | 2016-09-30 ~ 2020-09-30 |
| Cranbury Elementary School Based Health Services | 10 Knowalot Lane, Norwalk, CT 06851 | Outpatient Clinic | 2016-09-22 ~ 2020-09-30 |
| Rowayton Elementary School Based Health Services | 1 Roton Avenue, Norwalk, CT 06853 | Outpatient Clinic | 2017-01-19 ~ 2020-12-31 |
| Community Health Center Fox Run Elementary School Based Health Services | 228 Fillow Street, Norwalk, CT 06850 | Outpatient Clinic | 2019-01-11 ~ 2021-12-31 |
| Gaffney Elementary School Based Health Services | 322 Slater Rd, New Britain, CT 06053-3458 | Outpatient Clinic | 2020-01-01 ~ 2022-12-31 |
| Community Health Center Holmes Elementary School Based Health Services | 2150 Stanley Street, New Britain, CT 06053 | Outpatient Clinic | 2017-10-26 ~ 2021-12-31 |
Please comment or provide details below to improve the information on MOODY ELEMENTARY 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).