ANNA PETTENGILL (Credential# 1563912) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 13, 2017. The license expiration date date is January 12, 2019. The license status is INACTIVE.
ANNA PETTENGILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001632774. The credential type is medication administration certification. The effective date is January 13, 2017. The expiration date is January 12, 2019. The business address is P.o. Box 134, Chester, CT 06412. The current status is inactive.
| Licensee Name | ANNA PETTENGILL |
| Credential ID | 1563912 |
| Credential Number | DSMA.001632774 |
| Credential Type | Medication Administration Certification |
| Business Address |
P.o. Box 134 Chester CT 06412 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2014-12-31 |
| Effective Date | 2017-01-13 |
| Expiration Date | 2019-01-12 |
| Refresh Date | 2019-04-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1569171 | DSMA.001532774 | Medication Administration Certification | 2013-01-13 | 2015-01-13 - 2017-01-12 | INACTIVE |
| Street Address | P.O. Box 134 |
| City | Chester |
| State | CT |
| Zip Code | 06412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Josef Schlueter-walsh | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2019-07-14 ~ 2021-07-13 |
| Darlene Morey | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-08-09 ~ 2020-08-08 |
| Kimberly Soucy | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-08-09 ~ 2020-08-08 |
| Amanda Ford | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-07-29 ~ 2020-07-28 |
| Desiree Kane | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-07-21 ~ 2020-07-20 |
| Shannon Mckenna | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-06-25 ~ 2020-06-24 |
| Anthony Jefferson Jr | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-06-23 ~ 2020-06-22 |
| Chelsea Pike | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-06-11 ~ 2020-06-10 |
| Daniel Winslow | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-03-31 ~ 2020-03-30 |
| Aelix Copes | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-02-08 ~ 2020-02-07 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon M Lavy | 1 Bokum Road, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Charles G Mueller | 44 Straits Rd, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sharon T Kayser | 28 Old Depot Road, Chester, CT 06412 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Riggles | 9 Middlesex Avenue, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Chandra Burton | 21 Goosehill Rd, Chester, CT 06412 | Medication Administration Certification | ~ |
| Joseph E Shrack | Chester Veterinary Clinic, Chester, CT 06412 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Hannah Palmisano | Po Box 661, Chester, CT 06412 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Steven E Tiezzi | 19 Kings Hwy, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Priscilla K Grzybowski | 19 Bartkiewitz Road, Chester, CT 06412 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Erin K F Saglimbeni | 161 Middlesex Ave, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06412 | |||
| City | Chester |
| Zip Code | 06412 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Chester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy D'anna | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2018-06-08 ~ 2020-06-07 |
| Anna Maier | 503 Mix St., Bristol, CT 06010 | Medication Administration Certification | 2019-06-10 ~ 2021-06-09 |
| Lamaia Manning | 41 Anna Ave., Waterbury, CT 06708 | Medication Administration Certification | ~ |
| Anna Lee | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2015-02-14 ~ 2017-02-13 |
| Anna Perry | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2001-11-11 ~ 2003-11-10 |
| Anna Mercado | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2006-04-05 ~ 2008-04-04 |
| Anna Hulse | 807 Washington Ave. Ext, Waterbury, CT 06708 | Medication Administration Certification | 2019-08-17 ~ 2021-08-16 |
| Anna Jones | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2014-07-09 ~ 2016-07-08 |
| Anna Angell | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2010-11-01 ~ 2012-10-31 |
| Gibril Bah | 187 Anna Avenue, Waterbury, CT 06708 | Medication Administration Certification | 2019-08-15 ~ 2021-08-14 |
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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).