TERRENCE JACKSON (Credential# 1559813) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2018. The license expiration date date is September 9, 2020. The license status is ACTIVE.
TERRENCE JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.161000856. The credential type is medication administration certification. The effective date is September 10, 2018. The expiration date is September 9, 2020. The business address is 109 Legion Avenue, New Haven, CT 06519. The current status is active.
| Licensee Name | TERRENCE JACKSON |
| Credential ID | 1559813 |
| Credential Number | DSMA.161000856 |
| Credential Type | Medication Administration Certification |
| Business Address |
109 Legion Avenue New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-09-10 |
| Effective Date | 2018-09-10 |
| Expiration Date | 2020-09-09 |
| Refresh Date | 2018-08-10 |
| Street Address | 109 Legion Avenue |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Donahue | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Victor Austin | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-08 ~ 2020-09-08 |
| Keith Johnson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-22 ~ 2020-08-21 |
| Michelle Young | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-16 ~ 2020-08-15 |
| David Brown | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
| Shawn Wood | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Eric James | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-16 ~ 2020-07-15 |
| Nicole Gandossy | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-15 ~ 2020-07-14 |
| Diana Strong | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-28 ~ 2020-06-27 |
| Lisette Morales | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-17 ~ 2020-06-16 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terrence Soulds | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2003-09-26 ~ 2005-09-25 |
| Terrence Bogue | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2013-10-23 ~ 2015-10-22 |
| Terrence Love | 222 Bradley Ave, Waterbury, CT 06708 | Medication Administration Certification | 2016-05-20 ~ 2018-05-19 |
| Terrence Norman | 500 Wilson St, Waterbury, CT 06708 | Medication Administration Certification | 2019-02-24 ~ 2021-02-23 |
| Terrence Norman | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2014-12-03 ~ 2016-12-02 |
| Terrence Pierce Jr | 195 Irene Ave, Waterbury, CT 06705 | Medication Administration Certification | 2019-12-13 ~ 2021-12-13 |
| Terrence Williams | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2015-03-14 ~ 2017-03-13 |
| Terrence Waver | 120 Cooke Street, Waterbury, CT 06710 | Medication Administration Certification | 2019-04-03 ~ 2021-04-03 |
| Terrence Stevenson | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2010-04-30 ~ 2012-04-29 |
| Terrence Shea | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1993-04-13 ~ 1995-04-12 |
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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).