MEDEXPRESS URGENT CARE-DERBY, DIVISION ST. (Credential# 1621102) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is November 28, 2018. The license expiration date date is September 30, 2021. The license status is ACTIVE.
MEDEXPRESS URGENT CARE-DERBY, DIVISION ST. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000965. The credential type is outpatient clinic. The effective date is November 28, 2018. The expiration date is September 30, 2021. The business address is 68 Division St, Derby, CT 06418-1447. The current status is active.
| Licensee Name | MEDEXPRESS URGENT CARE-DERBY, DIVISION ST. |
| Business Name | MEDEXPRESS URGENT CARE-DERBY, DIVISION ST. |
| Doing Business As | MEDEXPRESS URGENT CARE-DERBY, DIVISION ST. |
| Credential ID | 1621102 |
| Credential Number | OPC.0000965 |
| Credential Type | Outpatient Clinic |
| Business Address |
68 Division St Derby CT 06418-1447 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-18 |
| Effective Date | 2018-11-28 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2018-12-20 |
| Street Address | 68 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1447 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dheeraj Taranath | 68 Division St, Derby, CT 06418-1447 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jacqueline R Braunworth | 68 Division St, Derby, CT 06418-1447 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Christine M Hamilton | 68 Division St, Derby, CT 06418-1447 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Radio Shack #1098 | 68 Division St, Derby, CT 06418 | Tv & Radio Dealer | 2003-09-29 ~ 2004-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hasan Koc · Captain's Pizza Restaurant | 36 Division St, Derby, CT 06418-1447 | Restaurant Wine & Beer | 2012-01-23 ~ 2013-01-19 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Medexpress Urgent Care - Middletown, Washington St. | 752 Washington St, Middletown, CT 06457-2904 | Outpatient Clinic | 2018-11-27 ~ 2021-09-30 |
| Medexpress Urgent Care-meriden, E Main St | 875 E Main St, Meriden, CT 06450-6006 | Outpatient Clinic | 2018-10-15 ~ 2021-09-30 |
| Physicianone Urgent Care | 78 Pershing Dr, Derby, CT 06418-1433 | Outpatient Clinic | 2019-06-19 ~ 2022-06-30 |
| Afc Urgent Care | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | Outpatient Clinic | 2019-08-13 ~ 2022-09-30 |
| Afc Urgent Care | 1030 Boulevard, West Hartford, CT 06119 | Outpatient Clinic | 2019-02-25 ~ 2022-03-31 |
| Afc Urgent Care | 2 Main Street, Danbury, Ct 06810, CT | Outpatient Clinic | 2019-05-08 ~ 2022-06-30 |
| Afc Urgent Care | 100 Mill Plain Rd, Danbury, CT 06811-5178 | Outpatient Clinic | 2019-05-24 ~ 2022-06-30 |
| Afc Urgent Care | 1171 E Main St, Torrington, CT 06790-3963 | Outpatient Clinic | 2019-02-27 ~ 2022-03-31 |
| Afc Urgent Care | 179 Talcottville Rd, Vernon Rockville, CT 06066-4615 | Outpatient Clinic | 2019-02-25 ~ 2022-03-31 |
| Afc Urgent Care | 135 E Main St, New Britain, CT 06051-1914 | Outpatient Clinic | 2019-02-26 ~ 2022-03-31 |
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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).