CUSMORE SIMON (Credential# 1564842) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2019. The license expiration date date is April 1, 2021. The license status is ACTIVE.
CUSMORE SIMON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001733146. The credential type is medication administration certification. The effective date is April 2, 2019. The expiration date is April 1, 2021. The business address is 30 Farmington Drive, Waterbury, CT 06705. The current status is active.
| Licensee Name | CUSMORE SIMON |
| Credential ID | 1564842 |
| Credential Number | DSMA.001733146 |
| Credential Type | Medication Administration Certification |
| Business Address |
30 Farmington Drive Waterbury CT 06705 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-03-31 |
| Effective Date | 2019-04-02 |
| Expiration Date | 2021-04-01 |
| Refresh Date | 2019-06-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1573376 | DSMA.001533146 | Medication Administration Certification | 2013-04-03 | 2015-04-02 - 2017-04-01 | INACTIVE |
| Street Address | 30 Farmington Drive |
| City | Waterbury |
| State | CT |
| Zip Code | 06705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Graham | 30 Farmington Drive, Waterbury, CT 06705 | Medication Administration Certification | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | Waterbury |
| Zip Code | 06705 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Simon Manning | 32 Thompson Ave, Waterbury, CT 06708 | Medication Administration Certification | 2019-02-11 ~ 2021-02-10 |
| Deloris Simon | 227 Elm St., West Haven, CT 06516 | Medication Administration Certification | 2007-06-29 ~ 2009-06-28 |
| Antwone Simon | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2015-06-10 ~ 2017-06-09 |
| Kim Simon | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2006-11-16 ~ 2008-11-15 |
| Brittney Simon | 140 Pachaug River Drive, Griswold, CT 06351 | Medication Administration Certification | ~ |
| George Simon | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1995-09-26 ~ 1997-09-25 |
| Zakiya Simon | 114 Sodom Lane, P.o. Box 127, Derby, CT 06418 | Medication Administration Certification | 2004-06-10 ~ 2006-06-09 |
| Simon Wells | 45 Wormwood Hill Road, Mansfield, CT 06250 | Medication Administration Certification | 2020-04-08 ~ 2022-04-07 |
| Simon Akpalu | 27 Home Terrace, East Hartford, CT 06108 | Medication Administration Certification | 2018-10-16 ~ 2020-10-15 |
| Shellena Simon | 1163 Broad Street, Hartford, CT 06106 | Medication Administration Certification | 2019-03-27 ~ 2021-03-27 |
Please comment or provide details below to improve the information on CUSMORE SIMON.
| 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).