CHANNON FOUNTAIN (Credential# 1559610) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2018. The license expiration date date is July 1, 2020. The license status is ACTIVE.
CHANNON FOUNTAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.181000492. The credential type is medication administration certification. The effective date is July 2, 2018. The expiration date is July 1, 2020. The business address is 282 Main St. Ext, 2nd Fl., Middletown, CT 06457. The current status is active.
Licensee Name | CHANNON FOUNTAIN |
Credential ID | 1559610 |
Credential Number | DSMA.181000492 |
Credential Type | Medication Administration Certification |
Business Address |
282 Main St. Ext, 2nd Fl. Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CERTIFIED |
Active | 1 |
Issue Date | 2016-06-23 |
Effective Date | 2018-07-02 |
Expiration Date | 2020-07-01 |
Refresh Date | 2018-08-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1586951 | DSMA.161000492 | Medication Administration Certification | 2014-07-02 | 2016-07-02 - 2018-07-01 | INACTIVE |
Street Address | 282 Main St. Ext, 2nd Fl. |
City | Middletown |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Holloman | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-09-20 ~ 2020-09-19 |
Harry Carr | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-18 ~ 2020-08-17 |
Susan Crouch | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
Robin Gerovitz | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-08-01 ~ 2020-07-31 |
Sarah Quinn | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-07-10 ~ 2020-07-09 |
Makeba Hutley | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-30 ~ 2020-05-29 |
Sakai Johnson | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-15 ~ 2020-05-14 |
Reginald Speller | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-05-03 ~ 2020-05-02 |
Patricia Hayes | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-03-08 ~ 2020-03-07 |
Danita Griffiths | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2018-02-10 ~ 2020-02-09 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | Middletown |
Zip Code | 06457 |
License Type | Medication Administration Certification |
License Type + County | Medication Administration Certification + Middletown |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Francesann Ayuyu | 41 Fountain St, Norwich, CT 06360 | Medication Administration Certification | ~ |
Joy'l Fountain | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2009-03-22 ~ 2011-03-21 |
Bianca Miller | 154 Fountain St, New Haven, CT 06515 | Medication Administration Certification | ~ |
Raheem Ahmed | 58 Fountain St., New Haven, CT 06515 | Medication Administration Certification | 2020-03-24 ~ 2022-03-23 |
Jazmine Roy | 200 Fountain Road, New Haven, CT 06515 | Medication Administration Certification | 2020-01-09 ~ 2022-01-08 |
Carl Smith | 69 Fountain St, Norwich, CT 06360 | Medication Administration Certification | 2018-10-23 ~ 2020-10-23 |
Kenneth Fountain | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2013-10-31 ~ 2015-10-30 |
Amarah Hernandez | 38 Fountain St, Norwich, CT 06360 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
Betty Bertrand | 399 Fountain St 1fl, New Haven, CT 06515 | Medication Administration Certification | 2019-03-22 ~ 2021-03-22 |
Kiwan Fountain | 31 Gillett Streeet, Hartford, CT 06105 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on CHANNON FOUNTAIN.
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).