CHARLENE MALBAURN (Credential# 1557198) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 17, 2019. The license expiration date date is November 16, 2021. The license status is ACTIVE.
CHARLENE MALBAURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001704990. The credential type is medication administration certification. The effective date is November 17, 2019. The expiration date is November 16, 2021. The business address is 21 Hurlbutt Rd., Gales Ferry, CT 06335. The current status is active.
| Licensee Name | CHARLENE MALBAURN |
| Credential ID | 1557198 |
| Credential Number | DSMA.001704990 |
| Credential Type | Medication Administration Certification |
| Business Address |
21 Hurlbutt Rd. Gales Ferry CT 06335 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-10-31 |
| Effective Date | 2019-11-17 |
| Expiration Date | 2021-11-16 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1581431 | DSMA.001504990 | Medication Administration Certification | 2013-11-11 | 2015-11-17 - 2017-11-16 | INACTIVE |
| Street Address | 21 Hurlbutt Rd. |
| City | Gales Ferry |
| State | CT |
| Zip Code | 06335 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally M Derusha · Mccrea | 8 Brewster Drive, Gales Ferry, CT 06335 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Melissa A Kearney · Seidel | 853 Long Cove Rd, Gales Ferry, CT 06335 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Thomas Mcgarry | 1649 Ct-12, Gales Ferry, CT 06335 | Cross Connection Survey Inspector | 2020-03-05 ~ 2022-12-31 |
| Barbara J Smith | 5 Woodridge Circle, Gales Ferry, CT 06335 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mary E Hurley | 8 Cornell Court, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Hanson Aprn | 31 Washington Drive, Gales Ferry, CT 06335 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts #331844 · J J M A Donuts LLC | 1662 Route 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Mcdonalds | 1678 Rte 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Carol A Collette | 2 Stonybrook Rd, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Reginald L Weed · R L Weed Company | 52a Vinegar Hill Rd, Gales Ferry, CT 06335 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06335 | |||
| City | Gales Ferry |
| Zip Code | 06335 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Gales Ferry |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Malbaurn | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 2013-02-19 ~ 2015-02-18 |
| Kristen Malbaurn | 144 Plainfield Pike, Plainfield, CT 06374 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Charlene Blanchette | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2007-11-15 ~ 2009-11-14 |
| Charlene Bennett | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2015-08-29 ~ 2017-08-28 |
| Charlene Shepard | 45 Maple Ave, Windsor, CT 06095 | Medication Administration Certification | 2013-10-26 ~ 2015-10-25 |
| Charlene Overstreet | 304 Camp Street, Middletown, CT 06457 | Medication Administration Certification | ~ |
| Charlene Durrence | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2006-10-12 ~ 2008-10-11 |
| Charlene Mckenzie | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-11-16 ~ 2016-11-15 |
| Charlene Shorter | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2003-03-27 ~ 2005-03-26 |
| Charlene Fuller | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2010-04-24 ~ 2012-04-23 |
Please comment or provide details below to improve the information on CHARLENE MALBAURN.
| 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).