SUSAN BROADUS (Credential# 1552542) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2012. The license expiration date date is September 10, 2014. The license status is INACTIVE.
SUSAN BROADUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001228836. The credential type is medication administration certification. The effective date is September 11, 2012. The expiration date is September 10, 2014. The business address is 89 Clark Hill Road, Prospect, CT 06712. The current status is inactive.
| Licensee Name | SUSAN BROADUS |
| Credential ID | 1552542 |
| Credential Number | DSMA.001228836 |
| Credential Type | Medication Administration Certification |
| Business Address |
89 Clark Hill Road Prospect CT 06712 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE |
| Issue Date | 2010-09-11 |
| Effective Date | 2012-09-11 |
| Expiration Date | 2014-09-10 |
| Refresh Date | 2018-08-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1603209 | 27 | Marital and Family Therapist | - | PENDING |
| Street Address | 89 Clark Hill Road |
| City | Prospect |
| State | CT |
| Zip Code | 06712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | Prospect |
| Zip Code | 06712 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Prospect |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Broadus | 17 Herkimer St, Bridegport, CT 06604 | Medication Administration Certification | 2019-05-13 ~ 2021-05-12 |
| Susan Myers | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2010-04-05 ~ 2012-04-04 |
| Susan Pow | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 1998-06-17 ~ 2000-06-16 |
| Susan Dreger | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2010-11-09 ~ 2012-11-08 |
| Susan Squier | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2011-11-05 ~ 2013-11-04 |
| Susan Kay | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-06-03 ~ 2016-06-02 |
| Susan Holmes | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2008-11-04 ~ 2010-11-03 |
| Susan Veillette | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2014-09-21 ~ 2016-09-20 |
| Susan Marowa | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2013-04-19 ~ 2015-04-18 |
| Susan Kibe | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2016-10-18 ~ 2018-10-17 |
Please comment or provide details below to improve the information on SUSAN BROADUS.
| 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).