DANIELLE KRISTINA BLACK (Credential# 1417404) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DANIELLE KRISTINA BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.142960. The credential type is registered nurse. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 57 Wedgewood Dr, Manchester, CT 06042-2736. The current status is active.
| Licensee Name | DANIELLE KRISTINA BLACK |
| Credential ID | 1417404 |
| Credential Number | 10.142960 |
| Credential Type | Registered Nurse |
| Business Address |
57 Wedgewood Dr Manchester CT 06042-2736 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-03 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1260654 | DCFA.95228 | Family Child Care Assistant | 2015-02-18 | 2015-02-18 - 2017-02-28 | INACTIVE |
| Street Address | 57 WEDGEWOOD DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2736 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zachary J Sequeira | 15 Wedgewood Dr, Manchester, CT 06042-2736 | Radiographer | 2020-02-01 ~ 2021-01-31 |
| Tamika Young-zawadzki | 87 Wedgewood Dr, Manchester, CT 06042-2736 | Hairdresser/cosmetician | 2019-08-01 ~ 2021-07-31 |
| April Moore | 35 Wedgewood Dr, Manchester, CT 06042-2736 | Hairdresser/cosmetician | 2014-02-01 ~ 2016-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexis Danielle Black | 242 Talcottville Rd Unit 108, Vernon, CT 06066-4633 | Registered Nurse | 2020-06-26 ~ 2021-06-30 |
| Danielle Mckay | 48 Black Twig Pl, Stamford, CT 06903-1835 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Kristina S Clark | Po Box 324, Litchfield, CT 06759-0324 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kristina R Imm | 82 Foxbridge Vlg Rd, Branford, CT 06405 | Registered Nurse | 1993-05-25 ~ 1994-07-31 |
| Kristina Ray | 353 Montague Rd, Highlandville, MO 65669 | Registered Nurse | 2020-01-07 ~ 2021-01-31 |
| Kristina L Oddo | 34 Joy Ln, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristina L Peterson | 278 Neipsic Rd, Glastonbury, CT 06033-3031 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Kristina L Pink | 44 Champlin Rd, Killingworth, CT 06419-1358 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kristina L Douglas | 11 Devaux Rd, Torrington, CT 06790-2158 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kristina Seitler | 92 W Town St., Milford, CT 06460 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
Please comment or provide details below to improve the information on DANIELLE KRISTINA BLACK.
| 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).