JACK MASON (Credential# 1564797) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2018. The license expiration date date is June 17, 2020. The license status is LAPSED.
JACK MASON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001825423. The credential type is medication administration certification. The effective date is June 18, 2018. The expiration date is June 17, 2020. The business address is 156 Cross Roads, Waterford, CT 06385. The current status is lapsed.
| Licensee Name | JACK MASON |
| Credential ID | 1564797 |
| Credential Number | DSMA.001825423 |
| Credential Type | Medication Administration Certification |
| Business Address |
156 Cross Roads Waterford CT 06385 |
| Business Type | EMPLOYEE ONLY |
| Status | LAPSED - LAPSED RENEWAL |
| Active | 1 |
| Issue Date | 2016-06-05 |
| Effective Date | 2018-06-18 |
| Expiration Date | 2020-06-17 |
| Refresh Date | 2020-06-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1534082 | DSMA.001625423 | Medication Administration Certification | 2014-06-15 | 2016-06-18 - 2018-06-17 | INACTIVE |
| 1534081 | DSMA.001425423 | Medication Administration Certification | 2012-07-01 | 2014-06-18 - 2016-06-17 | INACTIVE |
| Street Address | 156 Cross Roads |
| City | Waterford |
| State | CT |
| Zip Code | 06385 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory Laguerre | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-26 ~ 2020-08-25 |
| Lori Forbes | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-24 ~ 2020-08-23 |
| George Fontanez | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-12 ~ 2020-08-11 |
| Patricia Hasapis | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| George Ajayi | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-07-23 ~ 2020-07-22 |
| Laura Bunn | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Marc Serluca | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-29 ~ 2020-06-28 |
| Susan Lazine | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-26 ~ 2020-06-25 |
| Mathew Stewart | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-08 ~ 2020-06-07 |
| Amaral Laguerre | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-06-08 ~ 2020-06-07 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | Waterford |
| Zip Code | 06385 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Waterford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyana Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Jasmyne Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Lisa Jack | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2013-09-17 ~ 2015-09-16 |
| Jasmyne Mason | 9 Newman Avenue, Waterbury, CT 06705 | Medication Administration Certification | ~ |
| Angenette Mason | 285 Judson Pl., Bridgeport, CT 06610 | Medication Administration Certification | 2020-03-24 ~ 2022-03-24 |
| Mason Miles | 189 Hanmer Street, Hartford, CT 06114 | Medication Administration Certification | ~ |
| Laverne Mason | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2018-08-25 ~ 2020-08-24 |
| Sharon Mason | 202 Division Ave, Shelton, CT 06484 | Medication Administration Certification | 2017-07-06 ~ 2019-07-05 |
| Jonicia Mason | 220 Fiske Street, Waterbury, CT 06710 | Medication Administration Certification | ~ |
| Leah Chouinard | 120 Mason Ave, Waterbury, CT 06708-2918 | Medication Administration Certification | 2019-09-30 ~ 2021-09-29 |
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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).