STONINGTON MIDDLE SCHOOL BASED HEALTH CENTER (Credential# 1804495) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2019. The license expiration date date is September 30, 2022. The license status is ACTIVE.
STONINGTON MIDDLE SCHOOL BASED HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0001065. The credential type is outpatient clinic. The effective date is October 22, 2019. The expiration date is September 30, 2022. The business address is 204 Mistuxet Ave, Mystic, CT 06355-3009. The current status is active.
| Licensee Name | STONINGTON MIDDLE SCHOOL BASED HEALTH CENTER |
| Business Name | STONINGTON MIDDLE SCHOOL BASED HEALTH CENTER |
| Doing Business As | STONINGTON MIDDLE SCHOOL BASED HEALTH CENTER |
| Credential ID | 1804495 |
| Credential Number | OPC.0001065 |
| Credential Type | Outpatient Clinic |
| Business Address |
204 Mistuxet Ave Mystic CT 06355-3009 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-22 |
| Effective Date | 2019-10-22 |
| Expiration Date | 2022-09-30 |
| Refresh Date | 2019-11-05 |
| Street Address | 204 MISTUXET AVE |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-3009 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen F Connors | 236 Mistuxet Ave, Mystic, CT 06355-3009 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Alex G Powden | 244 Mistuxet Ave, Mystic, CT 06355-3009 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| William R Murch | 228 Mistuxet Ave, Mystic, CT 06355-3009 | Heating, Piping & Cooling Limited Journeyperson | 2018-09-01 ~ 2019-08-31 |
| William B White | 246 Mistuxet Ave, Mystic, CT 06355-3009 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Jonathon D Nichols | 200a Mistuxet Ave, Mystic, CT 06355-3009 | Emergency Medical Technician | 2018-12-10 ~ 2021-09-30 |
| Heather L Wilson | 200b Mistuxet Ave, Mystic, CT 06355-3009 | Licensed Practical Nurse | 2014-12-18 ~ 2015-08-31 |
| Ap Electric LLC | 244 Mistuxet Ave, Mystic, CT 06355-3009 | Home Improvement Contractor | 2014-06-09 ~ 2014-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center Pawcatuck Middle School Based Health Services | 40 Field Street, North Stonington, CT 06359 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| Wooster Middle School Based Health Center | 150 Lincoln Street, Stratford, CT 06614 | Outpatient Clinic | 2018-06-28 ~ 2021-06-30 |
| Cloonan Middle School/school Based Health Center | 11 W North St, Stamford, CT 06902-2217 | Outpatient Clinic | 2018-07-01 ~ 2021-06-30 |
| Cutler Middle School Based Health Center | 160 Fishtown Rd, Mystic, CT 06355-2012 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Dolan Middle School Based Health Center | 51 Toms Rd, Stamford, CT 06906-1022 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Lincoln Middle School Based Health Center | 164 Centennial Ave, Meriden, CT 06451-3707 | Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Wooster Middle School Based Health Center | 150 Lincoln St, Stratford, CT 06614-4000 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Community Health Center Stonington High School Based Health Services | 176 South Broad Street, Pawcatuck, CT 06379 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| West Side Middle School Based Health Center | 250 Brandegee Ave, Groton, CT 06340-5108 | Outpatient Clinic | 2018-07-01 ~ 2021-06-30 |
| Community Health Center Pearson Middle School Based Health Services | 2 Wetmore Ave, Winsted, CT 06098 | Outpatient Clinic | 2017-07-14 ~ 2021-06-30 |
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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).