SHANNON COSTELLO (Credential# 1552089) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is May 11, 2018. The license expiration date date is May 10, 2020. The license status is LAPSED.
SHANNON COSTELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001828263. The credential type is medication administration certification. The effective date is May 11, 2018. The expiration date is May 10, 2020. The business address is 652 Willard Avenue, Newinton, CT 06111. The current status is lapsed.
| Licensee Name | SHANNON COSTELLO |
| Credential ID | 1552089 |
| Credential Number | DSMA.001828263 |
| Credential Type | Medication Administration Certification |
| Business Address |
652 Willard Avenue Newinton CT 06111 |
| Business Type | EMPLOYEE ONLY |
| Status | LAPSED - LAPSED RENEWAL |
| Active | 1 |
| Issue Date | 2016-06-15 |
| Effective Date | 2018-05-11 |
| Expiration Date | 2020-05-10 |
| Refresh Date | 2020-05-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1537259 | DSMA.001628263 | Medication Administration Certification | 2014-08-09 | 2016-05-11 - 2018-05-10 | INACTIVE |
| 1565340 | DSMA.001428263 | Medication Administration Certification | 2012-05-13 | 2014-05-11 - 2016-05-10 | INACTIVE |
| Street Address | 652 Willard Avenue |
| City | Newinton |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Harrison | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2020-03-16 ~ 2022-03-16 |
| Brittany Reale | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2018-09-28 ~ 2020-09-28 |
| Carla Fletcher | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2018-07-15 ~ 2020-07-14 |
| Toni Sanders | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2018-06-16 ~ 2020-06-15 |
| Lemonia White | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2018-04-30 ~ 2020-04-29 |
| Richard Stoops | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2017-12-21 ~ 2019-12-20 |
| Stacie Midolo | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2017-11-18 ~ 2019-11-17 |
| Jane Fromme | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2017-10-25 ~ 2019-10-24 |
| Hakeem Badiru | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2017-10-20 ~ 2019-10-19 |
| Salvatore Giadone | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 2017-09-22 ~ 2019-09-21 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newinton |
| Zip Code | 06111 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Newinton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michele Costello | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 1995-03-01 ~ 1997-02-28 |
| Eileen Costello | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 1995-12-19 ~ 1997-12-18 |
| Kelly Costello | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2011-06-21 ~ 2013-06-20 |
| Kevin Costello | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 1995-07-08 ~ 1997-07-07 |
| Shannon Cruz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-08-04 ~ 2019-08-03 |
| Shannon Culley | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2001-08-21 ~ 2003-08-20 |
| Shannon Belbusti | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2016-02-18 ~ 2018-02-17 |
| Shannon Jenkins | 306 Elm Street, Meriden, CT 06450 | Medication Administration Certification | ~ |
| Shannon Mckenna | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-06-25 ~ 2020-06-24 |
| Shannon Napiello | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2007-05-29 ~ 2009-05-28 |
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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).