RA'SHAUN CUSTIS (Credential# 1556619) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2019. The license expiration date date is April 19, 2021. The license status is ACTIVE.
RA'SHAUN CUSTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001729624. The credential type is medication administration certification. The effective date is April 20, 2019. The expiration date is April 19, 2021. The business address is 44 Manila Street, Bridgeport, CT 06610. The current status is active.
| Licensee Name | RA'SHAUN CUSTIS |
| Credential ID | 1556619 |
| Credential Number | DSMA.001729624 |
| Credential Type | Medication Administration Certification |
| Business Address |
44 Manila Street Bridgeport CT 06610 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-04-20 |
| Effective Date | 2019-04-20 |
| Expiration Date | 2021-04-19 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1580118 | DSMA.001529624 | Medication Administration Certification | 2013-03-11 | 2015-03-09 - 2017-03-08 | INACTIVE |
| Street Address | 44 Manila Street |
| City | Bridgeport |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Custis | 44 Manila Street, Bridgeport, CT 06610 | Medication Administration Certification | 2020-03-11 ~ 2022-03-10 |
| Serkena Custis | 44 Manila Street, Bridgeport, CT 06610 | Medication Administration Certification | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | Bridgeport |
| Zip Code | 06610 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Custis | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2018-09-01 ~ 2020-08-31 |
| Serkena Custis | 44 Manila Street, Bridgeport, CT 06610 | Medication Administration Certification | ~ |
| Aaron Custis | 44 Manila Street, Bridgeport, CT 06610 | Medication Administration Certification | 2020-03-11 ~ 2022-03-10 |
| Tiana Custis | 51 Locke Street, Ansonia, CT 06401 | Medication Administration Certification | 2019-11-08 ~ 2021-11-08 |
| Gary Custis | 1303 Aspen Glenn Drive, Hamden, CT 06518 | Medication Administration Certification | 2019-11-05 ~ 2021-11-04 |
| Shaun Timberlake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-03-07 ~ 2020-03-06 |
| La'shaun Yates | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2016-10-29 ~ 2018-10-28 |
| Shaun Temple | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2007-08-28 ~ 2009-08-27 |
| Shaun Mcmiller | 600 Corporate Row, Cromwell, CT 06416 | Medication Administration Certification | 2018-02-10 ~ 2020-02-09 |
| Shaun Medic | 44 Monroe Street, Waterford, CT 06385 | Medication Administration Certification | 2018-10-10 ~ 2020-10-10 |
Please comment or provide details below to improve the information on RA'SHAUN CUSTIS.
| 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).