JACQUELINE BLACK (Credential# 1557309) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 24, 2019. The license expiration date date is November 23, 2021. The license status is ACTIVE.
JACQUELINE BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001734205. The credential type is medication administration certification. The effective date is November 24, 2019. The expiration date is November 23, 2021. The business address is 255 Poquonock Ave, Windsor, CT 06095. The current status is active.
| Licensee Name | JACQUELINE BLACK |
| Credential ID | 1557309 |
| Credential Number | DSMA.001734205 |
| Credential Type | Medication Administration Certification |
| Business Address |
255 Poquonock Ave Windsor CT 06095 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-12-02 |
| Effective Date | 2019-11-24 |
| Expiration Date | 2021-11-23 |
| Refresh Date | 2019-11-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1581671 | DSMA.001534205 | Medication Administration Certification | 2013-11-24 | 2015-11-24 - 2017-11-23 | INACTIVE |
| Street Address | 255 Poquonock Ave |
| City | Windsor |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | Windsor |
| Zip Code | 06095 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Windsor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Barbour | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2014-12-13 ~ 2016-12-12 |
| Jacqueline Pellerin | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 1998-12-22 ~ 2000-12-21 |
| Jacqueline Roy | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2004-10-04 ~ 2006-10-03 |
| Jacqueline Allen | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-08-18 ~ 2013-08-17 |
| Jacqueline Thomas | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2016-07-16 ~ 2018-07-15 |
| Jacqueline Little | 8 Pound Sweet Hi, Bethel, CT 06810 | Medication Administration Certification | 2008-06-24 ~ 2010-06-23 |
| Jacqueline Arline | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2003-06-26 ~ 2005-06-25 |
| Jacqueline Greenwood | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2010-11-24 ~ 2012-11-23 |
| Jacqueline Barnes | 241 Quinnipiac Ave #14c, New Haven, CT 06513 | Medication Administration Certification | 2018-06-05 ~ 2020-06-04 |
| Jacqueline Curtin | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2004-09-20 ~ 2006-09-19 |
Please comment or provide details below to improve the information on JACQUELINE BLACK.
| 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).