MARC LAKE (Credential# 1560861) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2017. The license expiration date date is March 1, 2019. The license status is INACTIVE.
MARC LAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.171001817. The credential type is medication administration certification. The effective date is March 2, 2017. The expiration date is March 1, 2019. The business address is 165 Ocean Terrrace, Bridgeport, CT 06605. The current status is inactive.
| Licensee Name | MARC LAKE |
| Credential ID | 1560861 |
| Credential Number | DSMA.171001817 |
| Credential Type | Medication Administration Certification |
| Business Address |
165 Ocean Terrrace Bridgeport CT 06605 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-03-02 |
| Effective Date | 2017-03-02 |
| Expiration Date | 2019-03-01 |
| Refresh Date | 2019-05-30 |
| Street Address | 165 Ocean Terrrace |
| City | Bridgeport |
| State | CT |
| Zip Code | 06605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Moses Copeland | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2018-07-30 ~ 2020-07-29 |
| Kenisha Jaundoo | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2018-05-25 ~ 2020-05-24 |
| Antania Braswell | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2018-05-16 ~ 2020-05-15 |
| Nona Mcarthur | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2018-05-02 ~ 2020-05-01 |
| Andreana Lubin | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2018-01-11 ~ 2020-01-10 |
| Rashod Cauley | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2017-06-07 ~ 2019-06-06 |
| Kadijah Newell | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2017-06-01 ~ 2019-05-31 |
| Christina Reinhard | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2017-05-09 ~ 2019-05-08 |
| Edgar Lorenzo | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2017-01-05 ~ 2019-01-04 |
| Ruben Negron Jr | 165 Ocean Terrrace, Bridgeport, CT 06605 | Medication Administration Certification | 2017-01-05 ~ 2019-01-04 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | Bridgeport |
| Zip Code | 06605 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc Ballard | 15 Grandview Ave., Danbury, CT 06810 | Medication Administration Certification | ~ |
| Marc Vranes | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2015-11-16 ~ 2017-11-15 |
| Marc Dulcine | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2013-10-10 ~ 2015-10-09 |
| Marc Dutko | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 1998-10-07 ~ 2000-10-06 |
| Marc Crocetto | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2005-02-20 ~ 2007-02-19 |
| Marc Teixeira | 4 Country Walk, Shelton, CT 06484 | Medication Administration Certification | ~ |
| Marc Senus | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 1998-12-05 ~ 2000-12-04 |
| Marc Nguyen | 315 New Park Ave., Hartford, CT 06106 | Medication Administration Certification | 1999-07-27 ~ 2001-07-26 |
| Marc Grady | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-06-28 ~ 2011-06-27 |
| Marc Spencer | 81 Webb St., Windsor Locks, CT 06096 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on MARC LAKE.
| 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).