GAYLORD HOSPITAL (Credential# 152051) 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.
GAYLORD HOSPITAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012032-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 50 Gaylord Farm Rd, Wallingford, CT 06492-2828. The current status is active.
| Licensee Name | GAYLORD HOSPITAL |
| Business Name | GAYLORD HOSPITAL |
| Credential ID | 152051 |
| Credential Number | CSP.0012032-HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| Credential SubCategory | HOSP |
| Business Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
| 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 | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 930919 | CDH.00002CD | Chronic Disease Hospital | 2010-04-01 | 2018-04-01 - 2020-03-31 | ACTIVE IN RENEWAL |
| 5041 | FDR.0000734 | FROZEN DESSERT RETAILER | 2009-01-01 - 2009-12-31 | INACTIVE |
| Street Address | 50 GAYLORD FARM RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2828 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan C Woodhouse | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Ogechukwu Kingsley Egini | 50 Gaylord Farm Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David J Chen | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2018-12-06 ~ 2021-02-28 |
| Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Chronic Disease Hospital | 2018-04-01 ~ 2020-03-31 |
| Lokesh Mahendrakar | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Alexandru C Dinu | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gaylord Farm Association Dba Gaylord Hospital | Box 400, Gaylord Farm Rd, Wallingford, CT 06492 | Public Charity-exempt From Financial Requirements | ~ |
| Gaylord Hospital Inc | Po Box 400, Wallingford, CT 06492-7048 | Public Charity-exempt From Financial Requirements | ~ |
| Eileen Ramos | Gaylord Hospital, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Luci Juvan Md | Gaylord Hospital Po Box 400, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyse B Sicklick Md | Gaylord Hospital, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zeba T Syed Md | Gaylord Hospital, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Haseeb S Hashmi | Gaylord Hospital, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ymca/gaylord Early Learning Center | 61 Gaylord Farm Road- Gaylord Hospital-bldg 31, Wallingford, CT 06492 | Child Care Center | 2013-04-01 ~ 2017-03-31 |
| Lazarus Ogbonnaya Onwuka | Gaylord Specialty Hospital, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 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 |
Please comment or provide details below to improve the information on GAYLORD HOSPITAL.
| 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).