LISA FAC (Credential# 1551722) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 25, 2019. The license expiration date date is November 24, 2021. The license status is ACTIVE.
LISA FAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001734214. The credential type is medication administration certification. The effective date is November 25, 2019. The expiration date is November 24, 2021. The business address is 111 Rosengarten Dr. Apt. 2, Waterbury, CT 06704. The current status is active.
| Licensee Name | LISA FAC |
| Credential ID | 1551722 |
| Credential Number | DSMA.001734214 |
| Credential Type | Medication Administration Certification |
| Business Address |
111 Rosengarten Dr. Apt. 2 Waterbury CT 06704 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-10-31 |
| Effective Date | 2019-11-25 |
| Expiration Date | 2021-11-24 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1563275 | DSMA.001534214 | Medication Administration Certification | 2013-11-25 | 2015-11-25 - 2017-11-24 | INACTIVE |
| Street Address | 111 Rosengarten Dr. Apt. 2 |
| City | Waterbury |
| State | CT |
| Zip Code | 06704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eduardo Romero | 939 Cooke St, Waterbury, CT 06704 | Family Child Care Substitute | 2020-07-01 ~ 2022-06-30 |
| Regina A Field | 263 Boyden Street, Waterbury, CT 06704 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Nicole L Moreno | 85 Rose St. 3rd Fl, Waterbury, CT 06704 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tamira Latrese Abney | 123 Mark Lane Unit 6, Waterbury, CT 06704 | Emergency Medical Technician | ~ |
| Sarita A Smith | 19 Shagbark Rd, Waterbury, CT 06704 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kayode A Akande | 22 Sorrel Road, Waterbury, CT 06704 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Alaia's Market | 874 No Main St, Waterbury, CT 06704 | Non Legend Drug Permit | 2020-06-25 ~ 2020-12-31 |
| Prathon Battle Jr | 108 Laurie Place, Waterbury, CT 06704 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Waterbury Islamic Cultural Center Inc | 140 Homer St Ste. A, Waterbury, CT 06704 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Nivana M Douglas | 131 Dwight St, Waterbury, CT 06704 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06704 | |||
| City | Waterbury |
| Zip Code | 06704 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Gaynes | 169 Rosengarter Dr, Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Lisa Harris | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2008-06-30 ~ 2010-06-29 |
| Lisa Davis | 85 Cemetery Rd., Colchester, CT 06415 | Medication Administration Certification | ~ |
| Lisa Renaud | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2003-10-05 ~ 2005-10-04 |
| Lisa Ross | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2008-08-09 ~ 2010-08-08 |
| Lisa Jack | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2013-09-17 ~ 2015-09-16 |
| Lisa Fox | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2003-06-29 ~ 2005-06-28 |
| Lisa Knight | 443 Dixwell Ave, New Haven, CT 06511 | Medication Administration Certification | ~ |
| Lisa Ali | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-09-02 ~ 2016-09-01 |
| Lisa Dubay | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1991-11-14 ~ 1993-11-13 |
Please comment or provide details below to improve the information on LISA FAC.
| 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).