HOLLY STEPHENS (Credential# 1557719) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is October 12, 2019. The license expiration date date is October 11, 2021. The license status is ACTIVE.
HOLLY STEPHENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001705650. The credential type is medication administration certification. The effective date is October 12, 2019. The expiration date is October 11, 2021. The business address is 2 Mallard Lane, Waterford, CT 06385. The current status is active.
Licensee Name | HOLLY STEPHENS |
Credential ID | 1557719 |
Credential Number | DSMA.001705650 |
Credential Type | Medication Administration Certification |
Business Address |
2 Mallard Lane Waterford CT 06385 |
Business Type | EMPLOYEE ONLY |
Status | ACTIVE - CERTIFIED |
Active | 1 |
Issue Date | 2015-10-18 |
Effective Date | 2019-10-12 |
Expiration Date | 2021-10-11 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1542019 | DSMA.001505650 | Medication Administration Certification | 2013-10-01 | 2015-10-12 - 2017-10-11 | INACTIVE |
Street Address | 2 Mallard Lane |
City | Waterford |
State | CT |
Zip Code | 06385 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
Find all Licenses in zip 06385 |
City | Waterford |
Zip Code | 06385 |
License Type | Medication Administration Certification |
License Type + County | Medication Administration Certification + Waterford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frances Stephens | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2012-04-16 ~ 2014-04-15 |
Oren Stephens | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2014-10-30 ~ 2016-10-29 |
Roxanne Stephens | 925 Bridgeport Ave, Milford, CT 06461 | Medication Administration Certification | 2019-06-08 ~ 2021-06-07 |
Shavance Stephens | 181 College Street, Stratford, CT 06614 | Medication Administration Certification | ~ |
Brittney Stephens | 40 Hemlock St., Manchester, CT 06040 | Medication Administration Certification | 2020-03-05 ~ 2022-03-04 |
Shablis Stephens | 129 Plaza Drive, Middletown, CT 06457 | Medication Administration Certification | ~ |
Keneisha Stephens | 59 Spring Street, Middletown, CT 06457 | Medication Administration Certification | 2019-09-15 ~ 2021-09-14 |
Keahjah Stephens | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2018-04-21 ~ 2020-04-20 |
Sandi Stephens | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2000-10-14 ~ 2002-10-13 |
Timothy Stephens | 40 Hillside St., East Hartford, CT 06108 | Medication Administration Certification | 2019-12-07 ~ 2021-12-06 |
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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).