DOUGLAS SHAHEEN (Credential# 1551252) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2018. The license expiration date date is April 26, 2020. The license status is LAPSED.
DOUGLAS SHAHEEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001807477. The credential type is medication administration certification. The effective date is April 27, 2018. The expiration date is April 26, 2020. The business address is 320 Old Hill Road, Hamden, CT 06514. The current status is lapsed.
| Licensee Name | DOUGLAS SHAHEEN |
| Credential ID | 1551252 |
| Credential Number | DSMA.001807477 |
| Credential Type | Medication Administration Certification |
| Business Address |
320 Old Hill Road Hamden CT 06514 |
| Business Type | EMPLOYEE ONLY |
| Status | LAPSED - LAPSED RENEWAL |
| Active | 1 |
| Issue Date | 2016-04-25 |
| Effective Date | 2018-04-27 |
| Expiration Date | 2020-04-26 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1536066 | DSMA.001607477 | Medication Administration Certification | 2014-04-08 | 2016-04-27 - 2018-04-26 | INACTIVE |
| Street Address | 320 Old Hill Road |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Opportunity (alpha) | 320 Old Hill Road, Hamden, CT 06514 | Community Living Arrangement | 2018-08-01 ~ 2020-07-31 |
| Jacqueline Parker | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-05-13 ~ 2020-05-12 |
| Nancy Kelly | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-04-22 ~ 2020-04-21 |
| Joshua Snipes | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-04-04 ~ 2020-04-03 |
| Wendy Simpson | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-03-25 ~ 2020-03-24 |
| Myles Anderson | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-03-04 ~ 2020-03-03 |
| Joel Martin | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-02-04 ~ 2020-02-03 |
| Kimberly Taft | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2017-12-20 ~ 2019-12-19 |
| Kennitha Jones | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2017-06-13 ~ 2019-06-12 |
| Rodney Grant Sr | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2017-02-12 ~ 2019-02-11 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tasha Douglas | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2011-08-23 ~ 2013-08-22 |
| Crystal Welch | 15 Douglas St, Hartford, CT 06114 | Medication Administration Certification | ~ |
| Douglas Ashe | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2004-10-05 ~ 2006-10-04 |
| Timothy Douglas | 9 Fales St, Hartford, CT 06105 | Medication Administration Certification | 2018-09-04 ~ 2020-09-04 |
| Douglas Ross | 17 Godfrey St Apt. 3, Willimantic, CT 06226 | Medication Administration Certification | 2020-02-27 ~ 2022-02-26 |
| Douglas Showell Sr | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2016-02-04 ~ 2018-02-03 |
| Kimberly Douglas | 133 Pearl St, Waterbury, CT 06704 | Medication Administration Certification | 2019-07-11 ~ 2021-07-11 |
| Douglas Richardson | 26 Nooks Hill Rd., Cromwell, CT 06416 | Medication Administration Certification | ~ |
| Douglas Fernald | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2014-09-10 ~ 2016-09-09 |
| Winsome Marshall | 75 Douglas St., Hartford, CT 06114 | Medication Administration Certification | 2019-06-28 ~ 2021-06-27 |
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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).