KIM PETTEWAY (Credential# 1551139) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 6, 2020. The license expiration date date is June 5, 2022. The license status is ACTIVE.
KIM PETTEWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001811600. The credential type is medication administration certification. The effective date is June 6, 2020. The expiration date is June 5, 2022. The business address is 22 Stephanie Lane, Waterbury, CT 06710. The current status is active.
| Licensee Name | KIM PETTEWAY |
| Credential ID | 1551139 |
| Credential Number | DSMA.001811600 |
| Credential Type | Medication Administration Certification |
| Business Address |
22 Stephanie Lane Waterbury CT 06710 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-07-14 |
| Effective Date | 2020-06-06 |
| Expiration Date | 2022-06-05 |
| Refresh Date | 2020-06-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1535871 | DSMA.001611600 | Medication Administration Certification | 2014-05-13 | 2016-06-06 - 2018-06-05 | INACTIVE |
| 1535870 | DSMA.001411600 | Medication Administration Certification | 2012-05-09 | 2014-06-06 - 2016-06-05 | INACTIVE |
| Street Address | 22 Stephanie Lane |
| City | Waterbury |
| State | CT |
| Zip Code | 06710 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claire A Free Md | 25 Columbia Blvd, Waterbury, CT 06710 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jayni M Alvarez | 196 Cooke Street, Waterbury, CT 06710 | Eyelash Technician | ~ |
| Becky Mayer | 4 Kenilworth St, Waterbury, CT 06710 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Waterbury Pizza House LLC | 701 Cooke St, Waterbury, CT 06710 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deaja Sands | 14 Columbia Blvd, Waterbury, CT 06710 | Medication Administration Certification | 2020-06-18 ~ 2022-06-18 |
| Lee M Zarrelli | 170 Roseland Ave, Waterbury, CT 06710 | Plumbing & Piping Unlimited Journeyperson | 2019-11-14 ~ 2020-10-31 |
| Cindy J Dove | 102 Waverly Street, Waterbury, CT 06710 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Paul D Murphy | 109 Willow St, Waterbury, CT 06710 | Embalmer | 2020-09-01 ~ 2021-08-31 |
| Marianne Smith | 86 White St, Waterbury, CT 06710 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ariel Najia Goodman | 84 Oakland Ave., Waterbury, CT 06710 | Esthetician | ~ |
| Find all Licenses in zip 06710 | |||
| City | Waterbury |
| Zip Code | 06710 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ziaire Petteway | 142 Aldine Ave., Bridgeport, CT 06604 | Medication Administration Certification | ~ |
| Kenneth Petteway Jr | 7r Clover Street, Waterbury, CT 06706 | Medication Administration Certification | ~ |
| Malisha Petteway | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2008-01-16 ~ 2010-01-15 |
| Monique Petteway | 808 Four Rod Road P.o. Box 7333, Kensington, CT 06037 | Medication Administration Certification | 2002-09-10 ~ 2004-09-09 |
| Clifton Petteway | 19 Kensington Lane, Rocky Hill, CT 06067 | Medication Administration Certification | 2014-03-20 ~ 2016-03-19 |
| Petteway Family Funeral Service LLC | 116 E Farm St, Waterbury, CT 06704-3616 | Funeral Home | 2017-07-01 ~ 2018-06-30 |
| Petteway Funeral Home LLC | 116 E Farm St, Waterbury, CT 06704-3616 | Funeral Home | 2011-07-01 ~ 2011-09-27 |
| D'ara N Petteway | 33 Rosemont St, Hartford, CT 06120-1122 | Hairdresser/cosmetician | 2019-09-01 ~ 2021-08-31 |
| Stanley Petteway | 242 Orange St Apt 2, Waterbury, CT 06704-3935 | Pharmacy Technician | 2020-04-29 ~ 2021-03-31 |
| Alexander C Petteway | 53 Oak St, Waterbury, CT 06704-3839 | Electrical Unlimited Contractor | 2018-10-02 ~ 2019-09-30 |
Please comment or provide details below to improve the information on KIM PETTEWAY.
| 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).