JACQUELINE ANDERSON (Credential# 1564596) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 22, 2016. The license expiration date date is November 21, 2018. The license status is INACTIVE.
JACQUELINE ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001607970. The credential type is medication administration certification. The effective date is November 22, 2016. The expiration date is November 21, 2018. The business address is P.o. Box 872, Roselle Rm 230, Southbury, CT 06488. The current status is inactive.
| Licensee Name | JACQUELINE ANDERSON |
| Credential ID | 1564596 |
| Credential Number | DSMA.001607970 |
| Credential Type | Medication Administration Certification |
| Business Address |
P.o. Box 872, Roselle Rm 230 Southbury CT 06488 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2014-11-19 |
| Effective Date | 2016-11-22 |
| Expiration Date | 2018-11-21 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1572761 | DSMA.001407970 | Medication Administration Certification | 2012-11-22 | 2014-11-22 - 2016-11-21 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Anderson | 66 Beard Drive, New Milford, CT 06776 | Notary Public Appointment | 2015-07-01 ~ 2020-06-30 |
| Jacqueline Anderson | 668 E 84th Street, Brooklyn, NY 11236 | Registered Nurse | 2018-05-03 ~ 2018-10-31 |
| Jacqueline Anderson | 92 Gaylord Rd, Gaylordsville, CT 06755-1522 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Jacqueline Anderson | P O Box 248, Jumping Branch, VA 25969 | Registered Nurse | 2001-07-25 ~ 2002-09-30 |
| Street Address | P.O. Box 872, Roselle Rm 230 |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pauline Whipple | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-10-01 ~ 2020-09-30 |
| Linda Renfro | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-23 ~ 2020-09-22 |
| Arthur Bernabucci | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Samuel Cummings Sr | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-15 ~ 2020-09-14 |
| Jacqueline Gibson | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-14 ~ 2020-09-13 |
| Sandra Doughty | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-01 ~ 2020-08-31 |
| Hong Lee | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-30 ~ 2020-08-29 |
| Charles Cowan | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Keona Leary | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Michael Washington | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Barbour | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2014-12-13 ~ 2016-12-12 |
| Jacqueline Pellerin | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 1998-12-22 ~ 2000-12-21 |
| Jacqueline Roy | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2004-10-04 ~ 2006-10-03 |
| Jacqueline Rivera | 200 Myrtle St., New Britain, CT 06053 | Medication Administration Certification | 2018-06-11 ~ 2020-06-10 |
| Jacqueline Allen | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-08-18 ~ 2013-08-17 |
| Jacqueline Gagnon | 117 Holabird Ave., Winsted, CT 06098 | Medication Administration Certification | 2006-05-11 ~ 2008-05-10 |
| Jacqueline Martin | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2015-08-16 ~ 2017-08-15 |
| Jacqueline Rosado | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2014-04-18 ~ 2016-04-17 |
| Jacqueline Stratoudakis | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-07-03 ~ 2020-07-02 |
| Jacqueline Blizzard | 388 Perkins Ave 2-1, Waterbury, CT 06704 | Medication Administration Certification | 2020-06-13 ~ 2022-06-12 |
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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).