EVA GREEN (Credential# 1556357) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 16, 2018. The license expiration date date is August 15, 2020. The license status is ACTIVE.
EVA GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001613360. The credential type is medication administration certification. The effective date is August 16, 2018. The expiration date is August 15, 2020. The business address is 72 Washington Ave., North Haven, CT 06473. The current status is active.
| Licensee Name | EVA GREEN |
| Credential ID | 1556357 |
| Credential Number | DSMA.001613360 |
| Credential Type | Medication Administration Certification |
| Business Address |
72 Washington Ave. North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-08-17 |
| Effective Date | 2018-08-16 |
| Expiration Date | 2020-08-15 |
| Refresh Date | 2018-08-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1579608 | DSMA.001413360 | Medication Administration Certification | 2012-08-07 | 2014-08-16 - 2016-08-15 | INACTIVE |
| Street Address | 72 Washington Ave. |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanisha Roach | 72 Washington Ave., North Haven, CT 06473 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Donaja Richardson | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2019-04-05 ~ 2021-04-04 |
| Erica Brooks | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-29 ~ 2020-08-29 |
| Tia Smith | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Courtney Asbury | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Kayla Washington | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-27 ~ 2020-07-26 |
| Derek Smith | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-14 ~ 2020-07-13 |
| Patricia Marinuzzi | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-04 ~ 2020-07-03 |
| Tya Charles | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Tashiela Longo | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-06-01 ~ 2020-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaimesha Green | 22 Green St, Waterbury, CT 06708-3513 | Medication Administration Certification | 2019-12-09 ~ 2021-12-08 |
| Kaysie O'neil | 17 Green Ave, Griswold, CT 06351 | Medication Administration Certification | ~ |
| Patrina Green | 79 Myrtle St, Hartford, CT 06105 | Medication Administration Certification | ~ |
| Jamesha Green | 279 Park Rd, Hamden, CT 06517 | Medication Administration Certification | ~ |
| Tamika Walker | 399 Green Ave, New Haven, CT 06519 | Medication Administration Certification | ~ |
| Elizabeth Edberg | 420 Sam Green Rd., Coventry, CT 06238 | Medication Administration Certification | ~ |
| Tallie Green | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2002-03-13 ~ 2004-03-12 |
| Trevon Green | 28 Deerfield Ave., Hartford, CT 06112 | Medication Administration Certification | ~ |
| Michael Green | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2009-05-19 ~ 2011-05-18 |
| David Green | 85 Madisow St, Waterbury, CT 06706 | Medication Administration Certification | ~ |
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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).