SUKI INCILLO (Credential# 1552002) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2018. The license expiration date date is November 19, 2020. The license status is ACTIVE.
SUKI INCILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001601234. The credential type is medication administration certification. The effective date is November 20, 2018. The expiration date is November 19, 2020. The business address is 146 Hogback Road, West Hartland, CT 06091. The current status is active.
| Licensee Name | SUKI INCILLO |
| Credential ID | 1552002 |
| Credential Number | DSMA.001601234 |
| Credential Type | Medication Administration Certification |
| Business Address |
146 Hogback Road West Hartland CT 06091 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-10-28 |
| Effective Date | 2018-11-20 |
| Expiration Date | 2020-11-19 |
| Refresh Date | 2018-10-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1564931 | DSMA.001401234 | Medication Administration Certification | 2012-10-28 | 2014-11-20 - 2016-11-19 | INACTIVE |
| Street Address | 146 Hogback Road |
| City | West Hartland |
| State | CT |
| Zip Code | 06091 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia G Tyszka | 189 Old Forge Road, West Hartland, CT 06091 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
| Carol A Mierzwa · Daukas | 116 Hi View Rd, West Hartland, CT 06091 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Nicholas A Lucian | 1 Hi View Pond Dr, West Hartland, CT 06091 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Christina L Prusak | 507 Riverton Road, West Hartland, CT 06091 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Miguel R Bosse | 167 Hi-view Road, West Hartland, CT 06091 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Larry G Arel · Ktm Property Maintenance | 73 Wildcat Hill Road, Harwinton, CT 06091 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Harold K Groth | 2 Milo Coe Rd, West Hartland, CT 06091 | Notary Public Appointment | 1993-12-01 ~ 1998-11-30 |
| G F Pennington Jr | 30 Lorensen Rd, West Hartland, CT 06091 | Notary Public Appointment | 1993-01-04 ~ 1998-01-31 |
| Melissa H Bellerose | 259 Mill Street, West Hartland, CT 06091 | Notary Public Appointment | 2018-06-01 ~ 2023-05-31 |
| James M Smulski | 85 Hi View Road, West Hartland, CT 06091 | Notary Public Appointment | 1999-12-01 ~ 2004-11-30 |
| Find all Licenses in zip 06091 | |||
| City | West Hartland |
| Zip Code | 06091 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + West Hartland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suki Hollingsworth | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2013-07-20 ~ 2015-07-19 |
| John M Incillo · John M Incillo Building | 40 Drumlin Rd, West Simsbury, CT 06092 | Home Improvement Contractor | 2020-01-13 ~ 2020-11-30 |
| Jared D Incillo | 41 Blue Trail Dr, Northford, CT 06472 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Suki Hollingsworth | 5 Bassett St Apt C5, West Haven, CT 06516-5207 | Master's Level Social Worker | ~ |
| Suki Hollingsworth | 135 Dodge Ave., East Haven, CT 06516 | Licensed Clinical Social Worker | ~ |
| Suki C Mclaren Pa | 23 Keith Circle, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Suki Shergill | 6 Hearthstone Drive, Simbury, CT 06070 | Notary Public Appointment | 2016-09-22 ~ 2021-09-30 |
| Suki R Kaplan | 5 Linnmore Dr, Manchester, CT 06040-3836 | Family Child Care Substitute | 2012-09-04 ~ 2014-09-30 |
| Suki Hollingsworth | 29 Driscoll Road, Branford, CT 06405 | Family Child Care Substitute | 2008-08-01 ~ |
| William Yah | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
Please comment or provide details below to improve the information on SUKI INCILLO.
| 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).