SAMIRA JIMENEZ (Credential# 1564808) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 24, 2017. The license expiration date date is November 23, 2019. The license status is INACTIVE.
SAMIRA JIMENEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001734208. The credential type is medication administration certification. The effective date is November 24, 2017. The expiration date is November 23, 2019. The business address is 295 Alvord Park Rd., Torrington, CT 06790-3468. The current status is inactive.
| Licensee Name | SAMIRA JIMENEZ |
| Credential ID | 1564808 |
| Credential Number | DSMA.001734208 |
| Credential Type | Medication Administration Certification |
| Business Address |
295 Alvord Park Rd. Torrington CT 06790-3468 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-11-03 |
| Effective Date | 2017-11-24 |
| Expiration Date | 2019-11-23 |
| Refresh Date | 2020-02-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1573283 | DSMA.001534208 | Medication Administration Certification | 2013-11-24 | 2015-11-24 - 2017-11-23 | INACTIVE |
| Street Address | 295 Alvord Park Rd. |
| City | Torrington |
| State | CT |
| Zip Code | 06790-3468 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony Friedrich | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-09-07 ~ 2022-09-07 |
| Harold Giffin | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-09-20 ~ 2020-09-19 |
| Gabriel Bloomfield | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-09-10 ~ 2020-09-10 |
| Shasta Sinclair | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-09-06 ~ 2020-09-05 |
| Martin Onyango | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-08-15 ~ 2020-08-14 |
| James Lynch | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-08-13 ~ 2020-08-12 |
| Nadia Santiago | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-08-04 ~ 2020-08-03 |
| Jonathon Stomski | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Catherine M Boucher | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-07-18 ~ 2020-07-17 |
| Ganiyu Bilewu | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-07-17 ~ 2020-07-16 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adrianna Nordin | 164 Beechwood Ave., Torrington, CT 06790-3468 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Terry Crayne | 188 Washington Ave, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-08-02 ~ 2021-08-01 |
| Jessica Roy | 378 High St, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-07-19 ~ 2021-07-19 |
| Brandon Stack | 77 Cherry Street, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-06-13 ~ 2021-06-12 |
| April Carmen | 91 Roosevelt Ave, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-07-30 ~ 2021-07-29 |
| Sandra Kulinski | 71 Elmwood Terrance, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-07-21 ~ 2021-07-20 |
| Sandra Jasensky | 217 Domain Drive, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-06-06 ~ 2021-06-06 |
| Michelle Kioko | 130 Queens Road, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-06-29 ~ 2021-06-28 |
| Roxy Janulawicz | 101 Colin Drive, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-05-14 ~ 2021-05-13 |
| Sara Finkler | 405 Village Drive, Torrington, CT 06790-3468 | Medication Administration Certification | 2019-06-16 ~ 2021-06-15 |
| Find all Licenses in zip 06790-3468 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | Torrington |
| Zip Code | 06790 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Torrington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samira Bostic | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2014-08-02 ~ 2016-08-01 |
| Samira Souley | 46 Laurel Court, Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Kelia Samira Lanham | 275 Palisade Avenue Apt #4, Bridgeport, CT 06610 | Medication Administration Certification | ~ |
| Samira Muhammed | 25-4 Mayberry Circle, Waterbury, CT 06705 | Medication Administration Certification | 2019-09-19 ~ 2021-09-19 |
| Jennifer Jimenez | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2014-05-14 ~ 2016-05-13 |
| Johnathan Jimenez | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 1999-03-29 ~ 2001-03-28 |
| Jalissia Jimenez Williams | 119 Lillian Rd., Bristol, CT 06010 | Medication Administration Certification | ~ |
| Jonathan Jimenez | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 1993-02-03 ~ 1995-02-02 |
| Susan Jimenez | 232 Campfield Ave, Hartford, CT 06114 | Medication Administration Certification | 2019-08-29 ~ 2021-08-28 |
| Deborah Jimenez | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2005-07-17 ~ 2007-07-16 |
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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).