KEITH JOHNSON (Credential# 1554144) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 22, 2018. The license expiration date date is August 21, 2020. The license status is ACTIVE.
KEITH JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001632044. The credential type is medication administration certification. The effective date is August 22, 2018. The expiration date is August 21, 2020. The business address is 109 Legion Avenue, New Haven, CT 06519. The current status is active.
| Licensee Name | KEITH JOHNSON |
| Credential ID | 1554144 |
| Credential Number | DSMA.001632044 |
| Credential Type | Medication Administration Certification |
| Business Address |
109 Legion Avenue New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-08-18 |
| Effective Date | 2018-08-22 |
| Expiration Date | 2020-08-21 |
| Refresh Date | 2018-08-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1584039 | DSMA.001432044 | Medication Administration Certification | 2012-08-22 | 2014-08-22 - 2016-08-21 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Johnson | 14 Princess Pine Ln, Danbury, CT 06811-3385 | Plumbing & Piping Unlimited Journeyperson | 2019-12-19 ~ 2020-10-31 |
| Keith Johnson | 154-156 Westland St., Hartford, CT 06112 | Medication Administration Certification | ~ |
| Keith Johnson | 355 Winthrop Avenue, New Haven, CT 06511 | Asbestos Abatement Worker | 2009-06-30 ~ 2009-12-31 |
| Keith Johnson | 24 Somers Street, Bridgeport, CT 06604 | Medication Administration Certification | ~ |
| Street Address | 109 Legion Avenue |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Donahue | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Terrence Jackson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-10 ~ 2020-09-09 |
| Victor Austin | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-08 ~ 2020-09-08 |
| Michelle Young | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-16 ~ 2020-08-15 |
| David Brown | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
| Shawn Wood | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Eric James | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-16 ~ 2020-07-15 |
| Nicole Gandossy | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-15 ~ 2020-07-14 |
| Diana Strong | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-28 ~ 2020-06-27 |
| Lisette Morales | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-17 ~ 2020-06-16 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia Johnson | 148 Johnson Ave, Meriden, CT 06451 | Medication Administration Certification | 2019-09-08 ~ 2021-09-07 |
| Corey Johnson | 241 Johnson Road, Hamden, CT 06518 | Medication Administration Certification | 2019-09-19 ~ 2021-09-19 |
| Keith Springfield | 27 Eld St Apt A, New Haven, CT 06511 | Medication Administration Certification | ~ |
| Keith Mcclendon | 232 Farmington Ave, Hartford, CT 06105 | Medication Administration Certification | ~ |
| Keith Pratt | 173 Greenwood St, New Britian, CT 06051 | Medication Administration Certification | ~ |
| Leo Keith Jr | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2001-03-26 ~ 2003-03-25 |
| Keith Baker | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2018-10-05 ~ 2020-10-05 |
| Keith Ware | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-12-05 ~ 2016-12-04 |
| Keith Davis | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2015-06-27 ~ 2017-06-26 |
| Keith Nardelli | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2018-08-01 ~ 2020-07-31 |
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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).