JENNY BOURGOIN (Credential# 1557341) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 10, 2022. The license status is ACTIVE.
JENNY BOURGOIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001822492. The credential type is medication administration certification. The effective date is June 11, 2020. The expiration date is June 10, 2022. The business address is 27 Second St, Bristol, CT 06010. The current status is active.
| Licensee Name | JENNY BOURGOIN |
| Credential ID | 1557341 |
| Credential Number | DSMA.001822492 |
| Credential Type | Medication Administration Certification |
| Business Address |
27 Second St Bristol CT 06010 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-06-19 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2022-06-10 |
| Refresh Date | 2020-06-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1541398 | DSMA.001622492 | Medication Administration Certification | 2014-06-07 | 2016-06-11 - 2018-06-10 | INACTIVE |
| 1541397 | DSMA.001422492 | Medication Administration Certification | 2012-05-01 | 2014-06-11 - 2016-06-10 | INACTIVE |
| Street Address | 27 Second St |
| City | Bristol |
| State | CT |
| Zip Code | 06010 |
| 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 |
|---|---|---|---|
| Diane Bourgoin | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1991-10-30 ~ 1993-10-29 |
| Annette Bourgoin | 6 Storrs Road, Enfield, CT 06082 | Medication Administration Certification | 2011-03-07 ~ 2013-03-06 |
| Jenny Antoine | 147 Sherwood Ave, Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Jenny Belhumeur | 112 Fairhaven Dr., Middlebury, CT 06762 | Medication Administration Certification | 2019-11-14 ~ 2021-11-13 |
| Jenny Bishop | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2012-01-31 ~ 2014-01-30 |
| Jenny Hurwitz | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 1990-07-19 ~ 1992-07-18 |
| Jenny Ortiz | 6 East St., New Milford, CT 06776 | Medication Administration Certification | 2019-08-19 ~ 2021-08-18 |
| Jenny Weir | 860 Prospect Hill Rd, Windsor, CT 06095 | Medication Administration Certification | 2009-06-05 ~ 2011-06-04 |
| Jenny Garcia | 900 Asylum Ave. Ms#1108, Hartford, CT 06105-1985 | Medication Administration Certification | 2016-06-07 ~ 2018-06-06 |
| Jenny V Martinez | 5 Jeffrey Dr., South Windsor, CT 06074 | Medication Administration Certification | 2014-01-30 ~ 2016-01-29 |
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| 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).