DERRICK FORD (Credential# 1548669) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 4, 2009. The license expiration date date is December 3, 2011. The license status is INACTIVE.
DERRICK FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000916303. The credential type is medication administration certification. The effective date is December 4, 2009. The expiration date is December 3, 2011. The business address is 282 Main St. Ext, 2nd Fl., Middletown, CT 06457. The current status is inactive.
| Licensee Name | DERRICK FORD |
| Credential ID | 1548669 |
| Credential Number | DSMA.000916303 |
| Credential Type | Medication Administration Certification |
| Business Address |
282 Main St. Ext, 2nd Fl. Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-12-04 |
| Effective Date | 2009-12-04 |
| Expiration Date | 2011-12-03 |
| Refresh Date | 2018-08-01 |
| Street Address | 282 Main St. Ext, 2nd Fl. |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Holloman | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-09-20 ~ 2020-09-19 |
| Harry Carr | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-18 ~ 2020-08-17 |
| Susan Crouch | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
| Robin Gerovitz | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-01 ~ 2020-07-31 |
| Sarah Quinn | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-07-10 ~ 2020-07-09 |
| Channon Fountain | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Makeba Hutley | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-30 ~ 2020-05-29 |
| Sakai Johnson | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-15 ~ 2020-05-14 |
| Reginald Speller | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-03 ~ 2020-05-02 |
| Patricia Hayes | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-03-08 ~ 2020-03-07 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derrick Cox | 104 Lenox Ave, Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Derrick Sheets | 156 Eldridge St Flr. 1, Manchester, CT 06040 | Medication Administration Certification | ~ |
| Derrick Lewis | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2005-04-27 ~ 2007-04-26 |
| Derrick Hunter | 170 Pecal Street, Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Derrick West | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2000-09-14 ~ 2002-09-13 |
| Derrick Ward | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2017-07-21 ~ 2019-07-20 |
| Derrick Campbell | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2016-02-18 ~ 2018-02-17 |
| Derrick Hall | 84b Linwood Ave., Colchester, CT 06415 | Medication Administration Certification | 2017-11-20 ~ 2019-11-19 |
| Derrick Hunter | 170 Pecal St, Waterbury, CT 06704 | Medication Administration Certification | 2020-04-30 ~ 2022-04-30 |
| Derrick Graham | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2013-05-22 ~ 2015-05-21 |
Please comment or provide details below to improve the information on DERRICK FORD.
| 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).