SHANNON CRUZ (Credential# 1549365) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 4, 2017. The license expiration date date is August 3, 2019. The license status is INACTIVE.
SHANNON CRUZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001715097. The credential type is medication administration certification. The effective date is August 4, 2017. The expiration date is August 3, 2019. The business address is 35 Elm St., Naugatuck, CT 06770. The current status is inactive.
| Licensee Name | SHANNON CRUZ |
| Credential ID | 1549365 |
| Credential Number | DSMA.001715097 |
| Credential Type | Medication Administration Certification |
| Business Address |
35 Elm St. Naugatuck CT 06770 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-08-04 |
| Effective Date | 2017-08-04 |
| Expiration Date | 2019-08-03 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1575758 | DSMA.000515097 | Medication Administration Certification | 2003-04-26 | 2005-05-20 - 2007-05-19 | INACTIVE |
| Street Address | 35 Elm St. |
| City | Naugatuck |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Mcculloch | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2019-12-06 ~ 2021-12-05 |
| Garnette James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-10-17 ~ 2020-10-17 |
| Nicole Miele | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Jaevon Daniels | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-07 ~ 2020-09-07 |
| Jasmyne Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Michelle Muniz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-30 ~ 2020-08-30 |
| Tyana Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Tinika James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Paul Clark | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Daniel Panasci | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-20 ~ 2020-07-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06770 | |||
| City | Naugatuck |
| Zip Code | 06770 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Naugatuck |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelica Cruz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2015-08-09 ~ 2017-08-08 |
| Cruz Mejias | 24 4th Street, Meriden, CT 06451 | Medication Administration Certification | ~ |
| Liz Cruz | 785 Wethersfield Ave., Hartford, CT 06114 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Christine Cruz | 18 Sorrel Rd, Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Evelyn De La Cruz | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2013-10-18 ~ 2015-10-17 |
| Ramon Cruz | 61 Denver Pl, Waterbury, CT 06708 | Medication Administration Certification | ~ |
| Carmen Cruz | 31 Lynch Rd. Apt.1b, Chaplin, CT 06235 | Medication Administration Certification | ~ |
| Carmen Cruz | 31 Lynch Rd. Apt 1b, Chaplin, CT 06235 | Medication Administration Certification | ~ |
| Sheala Cruz | 151 Old Willimantic Rd, Columbia, CT 06237 | Medication Administration Certification | ~ |
| Shannon Jenkins | 306 Elm Street, Meriden, CT 06450 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on SHANNON CRUZ.
| 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).