INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL (Credential# 1440792) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000880. The credential type is outpatient clinic. The effective date is July 27, 2017. The expiration date is June 30, 2021. The business address is 869 Forbes Street, East Hartford, CT 06118. The current status is active.
| Licensee Name | INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL |
| Business Name | INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL |
| Doing Business As | INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL |
| Credential ID | 1440792 |
| Credential Number | OPC.0000880 |
| Credential Type | Outpatient Clinic |
| Business Address |
869 Forbes Street East Hartford CT 06118 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-03 |
| Effective Date | 2017-07-27 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2017-08-03 |
| Street Address | 869 FORBES STREET |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ywca East Hartford Kinderfun Prog | 869 Forbes Street, East Hartford, CT 06108 | Child Care Center | 1998-04-24 ~ 1999-07-12 |
| Conversion Data · East Hartford High School School Based | 869 Forbes Street, East Hartford, CT 06108 | Outpatient Clinic | ~ 1996-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hiep Thanh Nguyen | 65 Cloverdale Dr, East Hartford, CT 06118 | Nail Technician | 2020-06-26 ~ 2021-11-30 |
| Andrene Bennett | 34 Lanham Drive, East Hartford, CT 06118 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Jennifer L Smith | 399 Hills Street, East Hartford, CT 06118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Allisia Nicole Green | 75 Rowland Drive, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Jason Paul Cianci | 3 Roxbury Rd, East Hartford, CT 06118 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Laura E Lopez | 650 Forbes St, East Hartford, CT 06118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dennis Frimpong-manso | 72 Primrose Drive, East Hartford, CT 06118 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Tabitha L Harris | 31 High Street #7204, East Hartford, CT 06118 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaitlyn Kaminski | 473 Hills Street, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Francisca Quainoo | 93 Deborah Drive, East Hartford, CT 06118 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Find all Licenses in zip 06118 | |||
| City | EAST HARTFORD |
| Zip Code | 06118 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Intercommunity School Based Health Center At Hockanum School | 191 Main Street, East Hartford, CT 06118 | Outpatient Clinic | 2017-07-27 ~ 2021-06-30 |
| Intercommunity School Based Center At Synergy High School | 40 Butternut Drive, East Hartford, CT 06118 | Outpatient Clinic | 2017-12-07 ~ 2021-12-31 |
| Intercommunity School Based Health Center At Mayberry Elementary School | 101 Great Hill Road, East Hartford, CT 06108 | Outpatient Clinic | 2017-07-27 ~ 2021-06-30 |
| Intercommunity School Based Health Center At East Hartford Middle School | 777 Burnside Avenue, East Hartford, CT 06108 | Outpatient Clinic | 2017-07-27 ~ 2021-06-30 |
| Intercommunity School Based Health Center At Silver Lane Elementary | 15 Mercer Avenue, East Hartford, CT 06118 | Outpatient Clinic | 2017-07-27 ~ 2021-06-30 |
| Intercommuniity School Based Health Center At Langford Elementary · Intercommunity School Based Health Center At At Langford Elementary | 61 Alps Drive, East Hartford, CT 06108 | Outpatient Clinic | 2018-09-07 ~ 2021-06-30 |
| Central High School- School Based Health Center | 1 Lincoln Blvd, Bridgeport, CT 06606-5502 | Outpatient Clinic | 2017-01-01 ~ 2020-12-31 |
| Bassick High School, School Based Health Center | 1181 Fairfield Ave, Bridgeport, CT 06605-1183 | Outpatient Clinic | 2017-01-01 ~ 2020-12-31 |
| School Based Health Center At Westhill High School | 125 Roxbury Rd, Stamford, CT 06902-1215 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Larson School Based Health Center/mayberry School, The | 101 Great Hill Rd, East Hartford, CT 06108-2833 | Outpatient Clinic | 2013-10-03 ~ 2017-09-30 |
Please comment or provide details below to improve the information on INTERCOMMUNITY SCHOOL BASED HEALTH CENTER AT EAST HARTFORD HIGH SCHOOL.
| 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).