CHR FAMILY MEDICINE (Credential# 1655404) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2019. The license expiration date date is March 31, 2022. The license status is ACTIVE.
CHR FAMILY MEDICINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0001013. The credential type is outpatient clinic. The effective date is May 6, 2019. The expiration date is March 31, 2022. The business address is 153 Hazard Avenue, Enfield, CT 06082. The current status is active.
| Licensee Name | CHR FAMILY MEDICINE |
| Business Name | CHR FAMILY MEDICINE |
| Doing Business As | CHR FAMILY MEDICINE |
| Credential ID | 1655404 |
| Credential Number | OPC.0001013 |
| Credential Type | Outpatient Clinic |
| Business Address |
153 Hazard Avenue Enfield CT 06082 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-09 |
| Effective Date | 2019-05-06 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2019-05-09 |
| Street Address | 153 HAZARD AVENUE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christaina Wabeke | 153 Hazard Avenue, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-11-07 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Medicine Man Family Foundation | 4880 Havana St Ste 200, Denver, CO 80239-2402 | Public Charity | 2017-08-07 ~ 2018-11-30 |
| Society of Teachers of Family Medicine Foundation | 11400 Tomahawk Creek Pkwy Ste 240, Leawood, KS 66211-2680 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| University of Connecticut School of Dental Medicine | 1 Royce Cir Ste 108, Storrs Mansfield, CT 06268-2270 | Outpatient Clinic | 2018-10-01 ~ 2021-09-30 |
| School of Dental Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Norry Lan Md · Internal Medicine Associates P C | Va Outpatient Clinic, French Camp, CA 95231 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Preventive Medicine Institute Strang Clinic | 428 E 72nd Street, New York, NY 10021 | Public Charity | 2005-10-01 ~ 2006-11-30 |
| York Street Family Clinic | 98/100 York St, New Haven, CT 06511-5620 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Family Centers Inc · Family Centers, Inc. | 972 Boston Post Road, Darien, CT 06820 | Psychiatric Outpatient Clinic | 2004-01-01 ~ 2009-03-31 |
| Family Centers Inc. · Family Centers, Inc. | 60 Palmers Hill Road, Stamford, CT 06902 | Psychiatric Outpatient Clinic | ~ 2003-03-31 |
| Family Centers Inc. | 60 Palmers Hill Rd, Stamford, CT 06902-2113 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on CHR FAMILY MEDICINE.
| 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).