JACOB D BRUNGARD (Credential# 1471172) is licensed (Paramedic) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JACOB D BRUNGARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #72.003603. The credential type is paramedic. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 335 Woodbridge St, Manchester, CT 06042-2372. The current status is active.
| Licensee Name | JACOB D BRUNGARD |
| Credential ID | 1471172 |
| Credential Number | 72.003603 |
| Credential Type | Paramedic |
| Business Address |
335 Woodbridge St Manchester CT 06042-2372 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1026733 | 70.014033 | Emergency Medical Technician | 2011-08-23 | 2017-03-09 - 2020-03-31 | ACTIVE IN RENEWAL |
| Street Address | 335 WOODBRIDGE ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2372 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kweku T Aidoo | 305 Woodbridge St, Manchester, CT 06042-2372 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Gary H Crandall | 327 Woodbridge St, Manchester, CT 06042-2372 | Fire Protection Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Kim Desrosiers | 331 Woodbridge Street, Manchester, CT 06042-2372 | Family Child Care Substitute | 2014-07-17 ~ 2016-07-31 |
| 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 | Paramedic |
| License Type + County | Paramedic + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy C Withington | 9 Jacob Ln, Killingworth, CT 06419-1185 | Paramedic | 2019-11-01 ~ 2020-10-31 |
| Jacob P Telep | 31 Bray Ave, Milford, CT 06460-5406 | Paramedic | 2020-07-01 ~ 2021-06-30 |
| Jacob T Strickland | 3 Pheasant Run, Burlington, CT 06013-1204 | Paramedic | 2020-01-01 ~ 2020-12-31 |
| Jacob S Urban | 886 Mapledale Rd, Orange, CT 06477-1706 | Paramedic | 2019-11-01 ~ 2020-10-31 |
| Jacob L Sibilski | 72 Stagecoach Cir, Milford, CT 06460-3786 | Paramedic | 2020-04-01 ~ 2021-03-31 |
| Jacob A Sheffer | 271 Firelight Ct, Santa Rosa, CA 95403-7706 | Paramedic | 2019-05-08 ~ 2020-05-31 |
| Jacob C Cudgma | 51 Ledgewood Dr, North Branford, CT 06471-1814 | Paramedic | 2019-11-01 ~ 2020-10-31 |
| Jacob W Dutton | 442 W 258th Street, Bronx, NY 10471 | Paramedic | 2019-10-01 ~ 2020-09-30 |
| Nicole A Brungard | 281 Park St Apt 2, West Haven, CT 06516-5901 | Optician Apprentice | 2011-04-07 ~ 2011-08-31 |
| David G Brungard | 10 Pilgrim Road, Quaker Hill, CT 06375 | Emergency Medical Technician | ~ 1998-04-01 |
Please comment or provide details below to improve the information on JACOB D BRUNGARD.
| 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).