BRENDA TILLMAN (Credential# 1564355) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2018. The license expiration date date is September 20, 2020. The license status is ACTIVE.
BRENDA TILLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001600153. The credential type is medication administration certification. The effective date is September 21, 2018. The expiration date is September 20, 2020. The business address is 190 Farren Ave, New Haven, CT 06513-4527. The current status is active.
| Licensee Name | BRENDA TILLMAN |
| Credential ID | 1564355 |
| Credential Number | DSMA.001600153 |
| Credential Type | Medication Administration Certification |
| Business Address |
190 Farren Ave New Haven CT 06513-4527 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-08-23 |
| Effective Date | 2018-09-21 |
| Expiration Date | 2020-09-20 |
| Refresh Date | 2018-09-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1572200 | DSMA.001400153 | Medication Administration Certification | 2012-08-28 | 2014-09-21 - 2016-09-20 | INACTIVE |
| Street Address | 190 FARREN AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-4527 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenda L Tillman | 190 Farren Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle T Jarrett | 206 Farren Ave, New Haven, CT 06513-4527 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kyra T Cox | 218 Farren Ave Apt 2, New Haven, CT 06513-4527 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Miguel A Rodriguez · Mi Casa Realty | 154 Farren Ave, New Haven, CT 06513-4527 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Rcl Painting LLC | 158 Farren Ave Fl 2, New Haven, CT 06513-4527 | Home Improvement Contractor | 2013-02-15 ~ 2013-11-30 |
| Marlene Morales | 148 Farren Ave, New Haven, CT 06513-4527 | Medical Marijuana Producer Employee | 2016-11-07 ~ 2017-11-06 |
| Bhailal Motibhai Patel · Gemstone Liquors | 222 Farren Ave, New Haven, CT 06513-4527 | Package Store Liquor | ~ |
| Vaughn D Porteous | 208 Farren Ave, New Haven, CT 06513-4527 | Real Estate Salesperson | ~ |
| Carmen O Urena | 162 Farren Ave, New Haven, CT 06513-4527 | Asbestos Abatement Worker | 2010-05-21 ~ 2011-04-30 |
| James E Ferris · Curtiss B Clemens | 154 Farren Ave, New Haven, CT 06513-4527 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | NEW HAVEN |
| Zip Code | 06513 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Latonya Tillman | 621 Smith Ave, New Haven, CT 06513 | Medication Administration Certification | 2019-01-07 ~ 2021-01-06 |
| Roberta Tillman | 200 Myrtle St., New Britain, CT 06053 | Medication Administration Certification | 2004-11-21 ~ 2006-11-20 |
| Staria Tillman | 55 Eldridge St., Manchester, CT 06040 | Medication Administration Certification | 2019-06-16 ~ 2021-06-15 |
| Chandi Tillman | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 2001-01-19 ~ 2003-01-18 |
| Jacqueline Tillman | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2016-01-13 ~ 2018-01-12 |
| Tamera Tillman | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2008-07-15 ~ 2010-07-14 |
| Melvina Tillman | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 2004-05-11 ~ 2006-05-10 |
| Michelle Tillman | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2007-04-05 ~ 2009-04-04 |
| Guy Tillman · Tillman's Carpentry | 1765 Stratford Ave, Bridgeport, CT 06607 | Home Improvement Contractor | 2006-02-10 ~ 2006-11-30 |
| Brenda L Tillman | 190 Farren Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
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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).