MIDDLESEX HOSPITAL OUTPATIENT CTR (Credential# 163315) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
MIDDLESEX HOSPITAL OUTPATIENT CTR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021132. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 534 Saybrook Rd, Middletown, CT 06457. The current status is inactive.
| Licensee Name | MIDDLESEX HOSPITAL OUTPATIENT CTR |
| Business Name | MIDDLESEX HOSPITAL OUTPATIENT CTR |
| Credential ID | 163315 |
| Credential Number | CSP.0021132 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
534 Saybrook Rd Middletown CT 06457 |
| Business Type | BUSINESS |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | 534 SAYBROOK RD |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Middlesex Memorial Hospital | Middlesex Med Ctr Shoreline, Essex, CT 06426 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Middlesex Hospital | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Middlesex Hospital Shoreline Medical Ctr · Michael Saxe, Md | 260 Westbrook Rd, Essex, CT 06426 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Middlesex Hospital · Dipti Joshi Md | 28 Crescent Ave, Middletown, CT 06457 | Controlled Substance Laboratory | ~ |
| Middlesex Hospital | 28 Crescent St Dept Of, Middletown, CT 06457-3654 | Licensed Ems Organization | 2020-01-01 ~ 2020-12-31 |
| Middlesex Hospital | 28 Crescent St, Middletown, CT 06457-3654 | General Hospital | 2019-01-01 ~ 2020-12-31 |
| Middlesex Hospital · Aramark Corp Dba | 28 Crescent St, Middletown, CT 06457 | Vending Machine Operator | 1998-07-01 ~ 1999-06-30 |
| Middlesex Hospital Ambulance Service | Dept. of Emerg. Svc., Middletown, CT 06457 | Certified Ems Organization | 2014-09-19 ~ 2014-09-19 |
| Matthew R Lundquist Md | Middlesex Hospital Occupational Medicine, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen A Wyatt Do · Community Mental Health Ctr | Middlesex Hospital, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on MIDDLESEX HOSPITAL OUTPATIENT CTR.
| 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).