BRIDGEPORT HOSPITAL (Credential# 152649) is licensed (Controlled Substance Registration for Hospitals) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRIDGEPORT HOSPITAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003900-HOSP. The credential type is controlled substance registration for hospitals. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 267 Grant St, Bridgeport, CT 06610-2805. The current status is active.
| Licensee Name | BRIDGEPORT HOSPITAL |
| Business Name | BRIDGEPORT HOSPITAL |
| Credential ID | 152649 |
| Credential Number | CSP.0003900-HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| Credential SubCategory | HOSP |
| Business Address |
267 Grant St Bridgeport CT 06610-2805 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 930865 | GH.0000040 | General Hospital | 2010-04-01 | 2020-04-01 - 2022-03-31 | ACTIVE |
| 1048729 | NATP.000091-GH | Nurse Aide Training Program-Hospital | 1994-12-02 | 1994-12-02 - 2010-01-31 | INACTIVE |
| 145506 | CSL.0000154 | CONTROLLED SUBSTANCE LABORATORY | 1998-02-01 - 1999-01-31 | INACTIVE |
| Business ID | 0285134 |
| Business Name | BRIDGEPORT HOSPITAL |
| Business Address | 267 GRANT STREET, BRIDGEPORT, CT, 06610 |
| Mailing Address | BRIDGEPORT HOSPITAL, ATTN: LEGAL DEPT., 267 GRANT STREET, BRIDGEPORT, CT, 06610 |
| Registration Date | 1878-03-15 |
| State Citizenship | Domestic/CT |
| Business Type | Non-Stock |
| Business Status | Active |
| Agent Name | BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES, INC. |
| Agent Business Address | C/O JENNIFER WILLCOX, LEGAL DEPARTMENT, 267 GRANT STREET, BRIDGEPORT, CT, 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bridgeport Hospital | 267 Grant Street, Bridgeport, CT 06610 | Public Charity-exempt From Financial Requirements | ~ |
| Street Address | 267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Aishwariya S Vegunta | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Rasha T Ismail | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| Benjamin Hans Jeuk | 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Lucia Plichtova | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Kwabena Sefah Nketiah Sarpong | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Prajna D'silva | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Fabricio Malaguez Webber | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilead I Lancaster Md | 267 Grant St Fl 10, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nabil A Atweh | 267 Grant St Fl 8, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edwin Jin Su Lee | 297 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-08-11 ~ 2019-02-28 |
| Wilhelmina Jackson | 226 Mill Hill Ave., Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joanna Zolkowski-wynne | 267 Grant St # 5000, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad A Younus | 287 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Maximilian Klein | Bridgeport Hospital, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edosa I Odaro | 267 Grant Street, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Campus of Bridgeport Hospital | 300 Seaside Ave, Milford, CT 06460 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Danbury Hospital | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Stamford Hospital | 1 Hospital Plz, Stamford, CT 06902-3602 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Natchaug Hospital | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Griffin Hospital | Pharmacy Dept, Derby, CT 06418 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Middlesex Hospital | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Norwalk Hospital | 24 Stevens St, Norwalk, CT 06856-3852 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Greenwich Hospital | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
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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).