SAMANTHA PENA (Credential# 1564422) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 8, 2007. The license expiration date date is June 7, 2009. The license status is INACTIVE.
SAMANTHA PENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000720870. The credential type is medication administration certification. The effective date is June 8, 2007. The expiration date is June 7, 2009. The business address is 36 Witheridge St., Feeding Hills, MA 01030. The current status is inactive.
| Licensee Name | SAMANTHA PENA |
| Credential ID | 1564422 |
| Credential Number | DSMA.000720870 |
| Credential Type | Medication Administration Certification |
| Business Address |
36 Witheridge St. Feeding Hills MA 01030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-06-08 |
| Effective Date | 2007-06-08 |
| Expiration Date | 2009-06-07 |
| Refresh Date | 2018-08-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha Pena | 97 Rose Hill Ave, Danbury, CT 06810 | Medication Administration Certification | 2019-08-13 ~ 2021-08-13 |
| Street Address | 36 Witheridge St. |
| City | Feeding Hills |
| State | MA |
| Zip Code | 01030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Petersen | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2018-07-11 ~ 2020-07-10 |
| Juanita Buchanan | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2018-05-26 ~ 2020-05-25 |
| Jerome Campbell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2018-04-08 ~ 2020-04-07 |
| Denise Googe | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2017-05-18 ~ 2019-05-17 |
| Debra Nordell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2017-01-05 ~ 2019-01-04 |
| Ashlie Sheridan | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2016-06-14 ~ 2018-06-13 |
| Joyce Shell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-06-28 ~ 2016-06-27 |
| Deborah Coyle | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-04-11 ~ 2016-04-10 |
| Steven Patterson | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-01-08 ~ 2016-01-07 |
| Latonia Stewart | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2012-06-20 ~ 2014-06-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janeena J Ieraci | 35 Marlene Dr, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jared Hamre | 50 Stony Hill Rd, Feeding Hills, MA 01030 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Jacquelyn Cote | 424 Barry St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Seongsoun Kang | 232 Mapleview Lane, Feeding Hills, MA 01030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Richard W Gallerani | 656 Springfield St, Feeding Hills, MA 01030 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Lisa Frederick Alvarez | 86 Witheridge St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Allison Amanda Grubbs | 39 High Meadow Road, Feeding Hills, MA 01030 | Speech and Language Pathologist | ~ |
| Catherine M St. Laurent | 106 Columbia Drive, Feeding Hills, MA 01030 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Patricia E Milardo | 148 Roosevelt Ave., Feeding Hills, MA 01030 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Angela S Aussant | 52 Northwood Street, Feeding Hills, MA 01030 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 01030 | |||
| City | Feeding Hills |
| Zip Code | 01030 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Feeding Hills |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jasmin Pena | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2013-04-03 ~ 2015-04-02 |
| Leonel Pena | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2012-11-15 ~ 2014-11-14 |
| Somarys Pena | 134 Griggs St, Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Jeanette Pena | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2014-04-08 ~ 2016-04-07 |
| Milagros Pena | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-08-21 ~ 2011-08-20 |
| Eneida Pena | 64-215 Westwood Knls, Meriden, CT 06450 | Medication Administration Certification | 2019-11-14 ~ 2021-11-14 |
| Victoria Pena | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2017-06-01 ~ 2019-05-31 |
| Natalie Pena | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2016-04-06 ~ 2018-04-05 |
| Elizabeth Pena | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1997-06-23 ~ 1999-06-22 |
| Samantha Dillon | 49 Maple Ave., Willimantic, CT 06226 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on SAMANTHA PENA.
| 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).