ELISA MANGUAL (Credential# 1564610) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 31, 2018. The license expiration date date is January 30, 2020. The license status is INACTIVE.
ELISA MANGUAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001831040. The credential type is medication administration certification. The effective date is January 31, 2018. The expiration date is January 30, 2020. The business address is 216 Broad St. 3rd Fl, New London, CT 06320. The current status is inactive.
| Licensee Name | ELISA MANGUAL |
| Credential ID | 1564610 |
| Credential Number | DSMA.001831040 |
| Credential Type | Medication Administration Certification |
| Business Address |
216 Broad St. 3rd Fl New London CT 06320 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2016-02-22 |
| Effective Date | 2018-01-31 |
| Expiration Date | 2020-01-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1585435 | DSMA.001631040 | Medication Administration Certification | 2014-01-22 | 2016-01-31 - 2018-01-30 | INACTIVE |
| Street Address | 216 Broad st. 3rd fl |
| City | New London |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janet Cruz | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-28 ~ 2020-09-27 |
| Karen Bailey | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Peter Dickinson | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-20 ~ 2020-09-19 |
| Patricia Mcray | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-20 ~ 2020-09-19 |
| Tenesha Woolfolk | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-10 ~ 2020-09-09 |
| Laura Palazzi | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-09-10 ~ 2020-09-09 |
| Markeith Conyers | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-08-31 ~ 2020-08-30 |
| Shellene Arnold | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Duane Warren | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-08-25 ~ 2020-08-24 |
| Debra Mather | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-08-25 ~ 2020-08-24 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | New London |
| Zip Code | 06320 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New London |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travis Mangual | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2016-03-02 ~ 2018-03-01 |
| Leona Mangual | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2016-11-08 ~ 2018-11-07 |
| Kasandra Mangual | 55 Foster Drive, Willimantic, CT 06226 | Medication Administration Certification | 2020-02-10 ~ 2022-02-10 |
| Beatrize Mangual | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2016-06-14 ~ 2018-06-13 |
| Lucy Mangual | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2015-02-23 ~ 2017-02-22 |
| Robert Mangual | 27 Milk Street, Willimantic, CT 06226 | Medication Administration Certification | 2019-10-05 ~ 2021-10-04 |
| Angela Nunez-mangual | 44 Hope Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-01-11 ~ 2022-01-10 |
| Elisa Jannetty | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2009-06-23 ~ 2011-06-22 |
| Elisa Figueroa | 1562 Baldwin St, Waterbury, CT 06706 | Medication Administration Certification | ~ |
| Elisa Marcoux | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1991-10-12 ~ 1993-10-11 |
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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).