HEBREW HOME & HOSPITAL: MEDICAL DIRECTOR AVA PANNULLO (Credential# 144398) 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.
HEBREW HOME & HOSPITAL: MEDICAL DIRECTOR AVA PANNULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012027-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 1 Abrahms Blvd, West Hartford, CT 06117-1508. The current status is active.
| Licensee Name | HEBREW HOME & HOSPITAL: MEDICAL DIRECTOR AVA PANNULLO |
| Business Name | HEBREW HOME & HOSPITAL: MEDICAL DIRECTOR AVA PANNULLO |
| Credential ID | 144398 |
| Credential Number | CSP.0012027-HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| Credential SubCategory | HOSP |
| Business Address |
1 Abrahms Blvd West Hartford CT 06117-1508 |
| 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 | 2019-05-16 |
| Street Address | 1 ABRAHMS BLVD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1508 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hebrew Community Services Inc. · Hebrew Health Care Assisted Living Service Agency | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Assisted Living Service Agency | 2020-04-01 ~ 2022-03-31 |
| Ava M Pannullo Md | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Heidi S Haller Aprn | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hebrew Home and Hospital Incorporated · Hebrew Home and Hospital, Incorporated | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Chronic Disease Hospital | 2018-10-01 ~ 2020-09-30 |
| Hebrew Home and Hospital, Inc · Hebrew Home and Hospital, Inc. | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Hebrew Community Services, Inc. · Hebrew Health Visiting Nurses | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Home Health Care | 2014-07-01 ~ 2017-06-30 |
| Olusegun Apoeso Md | 1 Abrahms Blvd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Hebrew Home and Hospital (auxiliary) | 1 Abrahms Blvd, West Hartford, CT 06117 | Frozen Dessert Retailer | 2012-01-01 ~ 2012-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cameale A Smart | 1 Abrahms Boulevard, West Hartford, CT 06117-1508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hebrew Home and Hospital, Inc · Hebrew Home and Hospital, Inc. | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Hebrew Home and Hospital Incorporated · Hebrew Home and Hospital, Incorporated | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Chronic Disease Hospital | 2018-10-01 ~ 2020-09-30 |
| Hebrew Home & Hospital Inc. | One Abrahms Blvd., West Hartford, CT 06117 | Public Charity-exempt From Financial Requirements | ~ |
| Hebrew Home and Hospital (auxiliary) | 1 Abrahms Blvd, West Hartford, CT 06117 | Frozen Dessert Retailer | 2012-01-01 ~ 2012-12-31 |
| Doina L Glodan Md | Hebrew Home & Hospital, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2008-03-04 ~ 2009-02-28 |
| Elizabeth B Esstman Aprn | Hebrew Home & Hospital, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| St. Mary's Hospital Oncology Center · Joseph J Bowen, Md Medical Director | 1075 Chase Pkwy Ste A, Waterbury, CT 06708-2948 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| St Francis Hospital & Medical Center | 31 Sycamore St, Glastonbury, CT 06033-4540 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Hebrew Community Services, Inc. · Hebrew Health Visiting Nurses | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Home Health Care | 2014-07-01 ~ 2017-06-30 |
| Stamford Hospital | 1 Hospital Plz, Stamford, CT 06902-3602 | 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).