TRACY CLARK (Credential# 1562790) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2014. The license expiration date date is June 2, 2016. The license status is INACTIVE.
TRACY CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001414421. The credential type is medication administration certification. The effective date is June 3, 2014. The expiration date is June 2, 2016. The business address is 156 Cross Roads, Waterford, CT 06385. The current status is inactive.
| Licensee Name | TRACY CLARK |
| Credential ID | 1562790 |
| Credential Number | DSMA.001414421 |
| Credential Type | Medication Administration Certification |
| Business Address |
156 Cross Roads Waterford CT 06385 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-06-03 |
| Effective Date | 2014-06-03 |
| Expiration Date | 2016-06-02 |
| Refresh Date | 2018-08-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1579289 | DSMA.000941873 | Medication Administration Certification | 1994-06-28 | 1996-06-22 - 1998-06-21 | INACTIVE |
| Street Address | 156 Cross Roads |
| City | Waterford |
| State | CT |
| Zip Code | 06385 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory Laguerre | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-26 ~ 2020-08-25 |
| Lori Forbes | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-24 ~ 2020-08-23 |
| George Fontanez | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-12 ~ 2020-08-11 |
| Patricia Hasapis | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| George Ajayi | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-07-23 ~ 2020-07-22 |
| Laura Bunn | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Marc Serluca | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-29 ~ 2020-06-28 |
| Susan Lazine | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-26 ~ 2020-06-25 |
| Jack Mason | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Mathew Stewart | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-08 ~ 2020-06-07 |
| Find all Licenses in the same address | |||
| 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 |
|---|---|---|---|
| Jasmine Tracy | 211 Palmer Rd, Chaplin, CT 06235 | Medication Administration Certification | ~ |
| Tracy Partica | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2012-06-14 ~ 2014-06-13 |
| Tracy Ingle | 27 Park Ave. Ext, Uncasville, CT 06382 | Medication Administration Certification | ~ |
| Tracy Trotman | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 1998-07-09 ~ 2000-07-08 |
| Tracy Nurse | 15 Hopkins Dr., Newington, CT 06111 | Medication Administration Certification | 2020-03-10 ~ 2022-03-09 |
| Tracy Roe | 10 Yeomans Road, Columbia, CT 06237 | Medication Administration Certification | 2018-11-06 ~ 2020-11-06 |
| Tracy Baldis | 99 Winsted Rd., Torrington, CT 06790 | Medication Administration Certification | 2018-02-08 ~ 2020-02-07 |
| Tracy Lee | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2008-04-20 ~ 2010-04-19 |
| Tracy Tardiff | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-03-28 ~ 2011-03-27 |
| Tracy Labella | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 1992-05-19 ~ 1994-05-18 |
Please comment or provide details below to improve the information on TRACY CLARK.
| 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).