INDRAJI MAHABAMUNUGE (Credential# 1556876) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 13, 2020. The license expiration date date is January 12, 2022. The license status is ACTIVE.
INDRAJI MAHABAMUNUGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001830421. The credential type is medication administration certification. The effective date is January 13, 2020. The expiration date is January 12, 2022. The business address is 29 Norwood Rd, Bristol, CT 06010. The current status is active.
| Licensee Name | INDRAJI MAHABAMUNUGE |
| Credential ID | 1556876 |
| Credential Number | DSMA.001830421 |
| Credential Type | Medication Administration Certification |
| Business Address |
29 Norwood Rd Bristol CT 06010 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-01-13 |
| Effective Date | 2020-01-13 |
| Expiration Date | 2022-01-12 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1580680 | DSMA.001530421 | Medication Administration Certification | 2013-09-03 | 2015-08-31 - 2017-08-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indraji Mahabamunuge | 677 Woodtick Rd, Wolcott, CT 06716-2522 | Emergency Medical Technician | ~ |
| Street Address | 29 Norwood Rd |
| City | Bristol |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eleanor Lucas | 29 Norwood Rd, Bristol, CT 06010 | Registered Nurse | 2003-02-25 ~ 2004-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | Bristol |
| Zip Code | 06010 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bristol |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bhanuka Mahabamunuge | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2015-08-31 ~ 2017-08-30 |
| Deborah Mahabamunuge | P.o. Box 8211, Pelham, NY 10803 | Registered Nurse | 2020-01-17 ~ 2020-11-30 |
| Amy Newman | CT | Medication Administration Certification | 2018-11-19 ~ 2020-11-19 |
| William Yah | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Yahaira Ramirez | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Natasha Alston | CT | Medication Administration Certification | 2018-10-26 ~ 2020-10-26 |
| Juanita Singleton | CT | Medication Administration Certification | 2018-10-03 ~ 2020-10-03 |
| Crystal Seurattan | 818, Waterbury, CT 06706 | Medication Administration Certification | ~ |
| Amy Williams | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2014-12-06 ~ 2016-12-05 |
| Guy Garofalo | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2000-11-22 ~ 2002-11-21 |
Please comment or provide details below to improve the information on INDRAJI MAHABAMUNUGE.
| 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).