PATRICK WAYNE MICKENS SR. (Credential# 1429346) is licensed (Emergency Medical Responder) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2022. The license status is ACTIVE.
PATRICK WAYNE MICKENS SR. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #69.015697. The credential type is emergency medical responder. The effective date is April 1, 2020. The expiration date is March 31, 2022. The business address is 74 Southwind Dr, Wallingford, CT 06492-5033. The current status is active.
| Licensee Name | PATRICK WAYNE MICKENS SR. |
| Credential ID | 1429346 |
| Credential Number | 69.015697 |
| Credential Type | Emergency Medical Responder |
| Business Address |
74 Southwind Dr Wallingford CT 06492-5033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 864383 | 70.930345 | Emergency Medical Technician | 1993-01-21 | - 1995-03-31 | INACTIVE |
| 2002425 | 69 | Emergency Medical Responder | - | PENDING |
| Street Address | 74 SOUTHWIND DR |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-5033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise A Vece | 89 Southwind Drive, Wallingford, CT 06492-5033 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Emergency Medical Responder |
| License Type + County | Emergency Medical Responder + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick W Mickens Jr | 7 Kramer Rd, Colchester, CT 06415-2012 | Emergency Medical Responder | 2014-07-11 ~ 2017-04-01 |
| Patrick M Lynch | 606 Wayne Street, Bridgeport, CT 06606 | Emergency Medical Responder | ~ 1992-07-01 |
| Ricardo M Mickens | 152 Centerwood Rd, Newington, CT 06111-3110 | Emergency Medical Responder | 2020-04-01 ~ 2022-03-31 |
| Wayne M Serge | Po Box 204, Riverton, CT 06065 | Emergency Medical Responder | 2005-03-16 ~ 2007-01-01 |
| Wayne T Garrison | 3 Campfield Dr, Fairfield, CT 06825-3721 | Emergency Medical Responder | 2012-04-02 ~ 2015-07-01 |
| Keith Grosse | 30 Wayne Dr, Plainville, CT 06062-2933 | Emergency Medical Responder | 2018-05-30 ~ 2021-04-01 |
| Wayne A Greener | 163 Old Stafford Rd, Tolland, CT 06084-2525 | Emergency Medical Responder | 2015-06-30 ~ 2018-04-01 |
| William D Jacques | 123 Wayne Ln, Meriden, CT 06450-4722 | Emergency Medical Responder | 2019-04-26 ~ 2022-03-31 |
| Wayne J Mergel Sr | 242 Marlborough St, Portland, CT 06480-1901 | Emergency Medical Responder | 2020-01-01 ~ 2022-12-31 |
| Wayne L Nolan Jr | 455 Wintergreen Ave, New Haven, CT 06515-1012 | Emergency Medical Responder | 2012-06-11 ~ 2015-01-01 |
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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).