MARY BACON (Credential# 1556515) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2020. The license expiration date date is March 20, 2022. The license status is ACTIVE.
MARY BACON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001828011. The credential type is medication administration certification. The effective date is March 21, 2020. The expiration date is March 20, 2022. The business address is 588 Storrs Road, Mansfield Center, CT 06250. The current status is active.
| Licensee Name | MARY BACON |
| Credential ID | 1556515 |
| Credential Number | DSMA.001828011 |
| Credential Type | Medication Administration Certification |
| Business Address |
588 Storrs Road Mansfield Center CT 06250 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-02-22 |
| Effective Date | 2020-03-21 |
| Expiration Date | 2022-03-20 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1540320 | DSMA.001628011 | Medication Administration Certification | 2014-03-01 | 2016-03-21 - 2018-03-20 | INACTIVE |
| Street Address | 588 Storrs Road |
| City | Mansfield Center |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | Mansfield Center |
| Zip Code | 06250 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Mansfield Center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Bacon | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2018-06-05 ~ 2020-06-04 |
| Mary Lee | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2018-06-29 ~ 2020-06-28 |
| Mary Lou Regan | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2006-05-11 ~ 2008-05-10 |
| Mary Deconti | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2011-10-31 ~ 2013-10-30 |
| Mary Epps | 150 West St., New Britain, CT 06051 | Medication Administration Certification | ~ |
| Mary Ley | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1993-09-02 ~ 1995-09-01 |
| Mary Telford | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2006-08-21 ~ 2008-08-20 |
| Mary-jo O'donnell | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2001-06-19 ~ 2003-06-18 |
| Mary Carnein | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1998-10-30 ~ 2000-10-29 |
| Mary Mather | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2014-12-11 ~ 2016-12-10 |
Please comment or provide details below to improve the information on MARY BACON.
| 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).