JACK CHRISTENSON JR (Credential# 1554059) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 3, 2017. The license expiration date date is July 2, 2019. The license status is INACTIVE.
JACK CHRISTENSON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001712766. The credential type is medication administration certification. The effective date is July 3, 2017. The expiration date is July 2, 2019. The business address is P.o. Box 872, Roselle Rm 230, Southbury, CT 06488. The current status is inactive.
| Licensee Name | JACK CHRISTENSON JR |
| Credential ID | 1554059 |
| Credential Number | DSMA.001712766 |
| Credential Type | Medication Administration Certification |
| Business Address |
P.o. Box 872, Roselle Rm 230 Southbury CT 06488 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-06-27 |
| Effective Date | 2017-07-03 |
| Expiration Date | 2019-07-02 |
| Refresh Date | 2019-09-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1583895 | DSMA.001512766 | Medication Administration Certification | 2013-06-23 | 2015-07-03 - 2017-07-02 | INACTIVE |
| Street Address | P.O. Box 872, Roselle Rm 230 |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pauline Whipple | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-10-01 ~ 2020-09-30 |
| Linda Renfro | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-23 ~ 2020-09-22 |
| Arthur Bernabucci | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Samuel Cummings Sr | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-15 ~ 2020-09-14 |
| Jacqueline Gibson | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-14 ~ 2020-09-13 |
| Sandra Doughty | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-01 ~ 2020-08-31 |
| Hong Lee | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-30 ~ 2020-08-29 |
| Charles Cowan | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Keona Leary | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Michael Washington | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alice Christenson | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration for Individual/family | 2014-09-18 ~ 2019-09-18 |
| Lisa Jack | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2013-09-17 ~ 2015-09-16 |
| Jack Smith | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 1995-11-03 ~ 1997-11-02 |
| Jack Greenwood | 36 Linda Ave, Uncasville, CT 06382 | Medication Administration Certification | 2018-10-07 ~ 2020-10-06 |
| Jack Mason | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Ashton Jack | 235 Main Street, East Hartford, CT 06118 | Medication Administration Certification | ~ |
| Ashton Jack | 22 Pine St, East Hartford, CT 06108 | Medication Administration Certification | 2019-01-19 ~ 2021-01-18 |
| Jack Perry | 808 Four Rod Road P.o. Box 7333, Kensington, CT 06037 | Medication Administration Certification | 1998-03-10 ~ 2000-03-09 |
| Jack Robinson | 421 Main Street, Cromwell, CT 06416 | Medication Administration Certification | 2018-04-12 ~ 2020-04-11 |
| Joseph Jack | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2002-01-15 ~ 2004-01-14 |
Please comment or provide details below to improve the information on JACK CHRISTENSON JR.
| 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).