| Entity Name: | WEST HARTFORD SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 23 Dec 2004 |
| Date of dissolution: | 06 Sep 2007 |
| Business ALEI: | 0805607 |
| Business address: | 80 SEYMOUR STREET, HARTFORD, CT, 06102 |
| Mailing address: | P.O. BOX 5037 ATTN: GEORGE KYRIACOU 80 SEYMOUR ST, HARTFORD, CT, 06102 |
| ZIP code: | 06102 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Name | Role |
|---|---|
| WINSHIP SERVICE CORPORATION | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PETER BLOOM M.D. | Officer | 85 SEYMOUR ST, SUITE 715, HARTFORD, CT, 06106, United States | 13 WENTWORTH PARK, FARMINGTON, CT, 06032, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0071572-FAC | CONTROLLED SUBSTANCE REGISTRATION FOR CLINICS AND OTHER FACILITIES | ACTIVE | CURRENT | 2019-07-15 | 2023-03-02 | 2025-02-28 |
| CSP.0041599 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | 2007-06-12 | 2015-03-25 | 2017-02-28 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0003531123 | 2007-09-06 | No data | Dissolution | Certificate of Dissolution | No data |
| 0003370460 | 2007-01-08 | No data | Annual Report | Annual Report | 2006 |
| 0003370458 | 2007-01-08 | No data | Annual Report | Annual Report | 2005 |
| 0002852119 | 2004-12-23 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
