WHITING FORENSIC HOSPITAL (Credential# 1590368) is licensed (Hospitals for Mentally Ill Persons) with Connecticut Department of Consumer Protection. The license effective date is August 21, 2018. The license expiration date date is June 30, 2020. The license status is ACTIVE.
WHITING FORENSIC HOSPITAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PSY.0000074. The credential type is hospitals for mentally ill persons. The effective date is August 21, 2018. The expiration date is June 30, 2020. The business address is 70 Obrien Dr, Middletown, CT 06457-3945. The current status is active.
| Licensee Name | WHITING FORENSIC HOSPITAL |
| Business Name | WHITING FORENSIC HOSPITAL |
| Doing Business As | WHITING FORENSIC HOSPITAL |
| Credential ID | 1590368 |
| Credential Number | PSY.0000074 |
| Credential Type | Hospitals for Mentally Ill Persons |
| Business Address |
70 Obrien Dr Middletown CT 06457-3945 |
| Business Type | GOVERNMENT AGENCY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-08 |
| Effective Date | 2018-08-21 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2018-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Whiting Forensic Hospital | 70 Holmes Dr, Middletown, CT 06457-3937 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Street Address | 70 OBRIEN DR |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3945 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vito M Iallonardo | 70 Obrien Dr, Middletown, CT 06457-3945 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Travis W Barret | 70 Obrien Dr, Middletown, CT 06457-3945 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tobias D Wasser | 70 Holmes Dr, Middletown, CT 06457-3945 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| 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 | Hospitals for Mentally Ill Persons |
| License Type + County | Hospitals for Mentally Ill Persons + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Whiting Forensic Institute | O'brien Drive, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1994-04-19 ~ 1996-05-01 |
| Sarah J Jacob | Whiting Forensic Hospital, Middletown, CT 06457 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Shana A Berger | Whiting Forensic Hospital, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natchaug Hospital Inc · Natchaug Hospital, Inc. | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | Hospitals for Mentally Ill Persons | 2019-07-01 ~ 2021-06-30 |
| Silver Hill Hospital Inc. · Silver Hill Hospital, Inc. | 208 Valley Rd, New Canaan, CT 06840-3812 | Hospitals for Mentally Ill Persons | 2019-07-01 ~ 2021-06-30 |
| Bsc Forensic Services LLC | 24200 Southwest Fwy Ste 402, Rosenberg, TX 77471-5985 | Professional Engineering Corporation | 2020-02-11 ~ 2021-02-11 |
| Robson Forensic Inc | 354 N Prince St, Lancaster, PA 17603-3085 | Professional Engineering Corporation | 2019-12-01 ~ 2020-11-30 |
| U S Forensic Associates LLC | 25852 Hwy #43, Picayune, MS 39466 | Professional Engineering Corporation | 2019-10-21 ~ 2020-10-20 |
| Forensic Accounting Services LLC | 2389 Main Street, Glastonbury, CT 06033 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Forensic Accounting Solutions, LLC | 18 Holcomb Ridge Road, West Granby, CT 06090 | Certified Public Accountant Firm Permit | 2011-01-01 ~ 2011-12-31 |
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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).