GRIFFIN HOSPITAL (Credential# 930529) is licensed (General Hospital) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2021. The license status is ACTIVE.
GRIFFIN HOSPITAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #GH.0000034. The credential type is general hospital. The effective date is October 1, 2019. The expiration date is September 30, 2021. The business address is 130 Division St, Derby, CT 06418-1326. The current status is active.
Licensee Name | GRIFFIN HOSPITAL |
Business Name | GRIFFIN HOSPITAL |
Doing Business As | GRIFFIN HOSPITAL |
Credential ID | 930529 |
Credential Number | GH.0000034 |
Credential Type | General Hospital |
Business Address |
130 Division St Derby CT 06418-1326 |
Business Type | CORPORATION |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-10-01 |
Effective Date | 2019-10-01 |
Expiration Date | 2021-09-30 |
Refresh Date | 2019-10-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1048840 | NATP.000092-GH | Nurse Aide Training Program-Hospital | 2011-05-05 | 2011-05-05 - 2020-08-15 | ACTIVE |
1300316 | CSP.0061010 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Griffin Hospital | Pharmacy Dept, Derby, CT 06418 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
Street Address | 130 DIVISION ST |
City | DERBY |
State | CT |
Zip Code | 06418-1326 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ricardo Concepcion Gomez | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Anwesh Poosala | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Da Young Ryu | 130 Division St, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Genevieve C Kela | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Inshiya Dawoodi | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Sovit Dahal | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Rosa Constantino | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Ivanshi Gondalia | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Angad Gill | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Douglas Palacios | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen M Chaisson Md | 130 Division St # I, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Turn The Tide Foundation Inc | 130 Division St Fl 2, Derby, CT 06418-1326 | Public Charity | 2017-12-01 ~ 2018-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06418 |
City | DERBY |
Zip Code | 06418 |
License Type | General Hospital |
License Type + County | General Hospital + DERBY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Griffin Hospital Development Fund Inc. | 130 Division Street, Derby, CT 06418 | Public Charity-exempt From Financial Requirements | ~ |
Rockville General Hospital · Rockville General Hospital Dialysis Center | 460 Hartford Turnpike, Vernon, CT 06066 | Hemodialysis | 2006-07-01 ~ 2008-06-30 |
Rockville General Hospital | 31 Union Street, Vernon, CT 06066 | General Hospital | 2016-01-01 ~ 2017-12-31 |
Rockville General Hospital · Rockville General Hospital Esrd Satellite Unit At Windham | 375c Tuckie Road, North Windham, CT 06256 | Hemodialysis | 2005-01-01 ~ 2006-12-31 |
Hartford Hospital | 80 Seymour St and 200 Retreat Avenue, Hartford, CT 06106-3315 | General Hospital | 2020-01-01 ~ 2021-12-31 |
Middlesex Hospital | 28 Crescent St, Middletown, CT 06457-3654 | General Hospital | 2019-01-01 ~ 2020-12-31 |
Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | General Hospital | 2019-10-01 ~ 2021-09-30 |
Johnson Memorial Hospital, Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2020-01-01 ~ 2021-12-31 |
Hospital of Saint Raphael | 1450 Chapel Street, New Haven, CT 06511 | General Hospital | 2011-10-01 ~ 2013-09-30 |
Johnson Memorial Hospital Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2014-01-01 ~ 2015-12-31 |
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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).