| Entity Name: | CENTER FOR SKIN SURGERY & DERMATOLOGY, PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 01 Aug 2017 |
| Business ALEI: | 1246013 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Business address: | 2928 MAIN ST STE 100, GLASTONBURY, CT, 06033, United States |
| Mailing address: | 2928 MAIN ST STE 100, GLASTONBURY, CT, United States, 06033 |
| ZIP code: | 06033 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | cgiglio@skinsurgeryct.com |
| Name | Role |
|---|---|
| WINSHIP SERVICE CORPORATION | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SIOBHAN C COLLINS M.D. | Officer | 2928 MAIN ST STE 100, GLASTONBURY, CT, 06033, United States | 41 OTTER COVE DRIVE, OLD SAYBROOK, CT, 06475, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0000861 | Clinical Laboratory | ACTIVE | CURRENT | 2019-10-01 | 2023-10-01 | 2025-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012116051 | 2024-02-05 | No data | Annual Report | Annual Report | No data |
| BF-0011347833 | 2023-02-27 | No data | Annual Report | Annual Report | No data |
| BF-0010297570 | 2022-03-28 | No data | Annual Report | Annual Report | 2022 |
| 0007187948 | 2021-02-24 | No data | Annual Report | Annual Report | 2021 |
| 0007187934 | 2021-02-24 | No data | Annual Report | Annual Report | 2019 |
| 0007187945 | 2021-02-24 | No data | Annual Report | Annual Report | 2020 |
| 0006071382 | 2018-02-12 | No data | Annual Report | Annual Report | 2018 |
| 0005899209 | 2017-08-01 | 2017-08-01 | Business Formation | Certificate of Organization | No data |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
