PHOUANGMALY PHIMVONGSA (Credential# 1539166) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 21, 1998. The license expiration date date is January 20, 2000. The license status is INACTIVE.
PHOUANGMALY PHIMVONGSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.009806587. The credential type is medication administration certification. The effective date is January 21, 1998. The expiration date is January 20, 2000. The business address is 3 Pearson Way, Enfield, CT 06082. The current status is inactive.
Licensee Name | PHOUANGMALY PHIMVONGSA |
Credential ID | 1539166 |
Credential Number | DSMA.009806587 |
Credential Type | Medication Administration Certification |
Business Address |
3 Pearson Way Enfield CT 06082 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 1996-02-26 |
Effective Date | 1998-01-21 |
Expiration Date | 2000-01-20 |
Refresh Date | 2018-08-01 |
Street Address | 3 Pearson Way |
City | Enfield |
State | CT |
Zip Code | 06082 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen Sanchez | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
Billie Jean Griffin | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
Brenda Hoy | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-07-30 ~ 2020-07-29 |
Paula Hodge | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-07-30 ~ 2020-07-29 |
Eileen St. Cyr | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-06-23 ~ 2020-06-22 |
Deborah Guzik | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-05-31 ~ 2020-05-30 |
Beatrice Bull | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-05-10 ~ 2020-05-09 |
Tiana Hamilton | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-02-08 ~ 2020-02-07 |
Tiana Cohens | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-02-08 ~ 2020-02-07 |
Naja Barrows | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-01-10 ~ 2020-01-09 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06082 |
City | Enfield |
Zip Code | 06082 |
License Type | Medication Administration Certification |
License Type + County | Medication Administration Certification + Enfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maly Phimvongsa | 88 Stoughton Rd, East Windsor, CT 06088-9754 | Professional Counselor | 2019-06-01 ~ 2020-05-31 |
Charasmy Phimvongsa | 38 Old King Street, Enfield, CT 06082-6038 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Khamphiou Phimvongsa · Khamp Construction | 38 Pond St, Broad Brook, CT 06016-9665 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Phoutthasack J Phimvongsa | 1033 Enfield St, Enfield, CT 06082-3643 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Amy Newman | CT | Medication Administration Certification | 2018-11-19 ~ 2020-11-19 |
William Yah | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
Richard Duhaime | 765 Mix Ave, Hamden, CT 06514 | Medication Administration Certification | ~ |
Francisco Moran | CT | Medication Administration Certification | 2018-10-30 ~ 2020-10-30 |
Shomari Cowan | Po Box 886, Windsor, CT 06095 | Medication Administration Certification | ~ |
Shelby Gentile | 245 Eno Ave., Torrington, CT 06790 | Medication Administration Certification | ~ |
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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).