MARLENE CHAMPAGNE (Credential# 1568556) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 28, 2005. The license expiration date date is November 27, 2007. The license status is INACTIVE.
MARLENE CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000505424. The credential type is medication administration certification. The effective date is November 28, 2005. The expiration date is November 27, 2007. The business address is P.o. Box 872, Roselle Rm 230, Southbury, CT 06488. The current status is inactive.
| Licensee Name | MARLENE CHAMPAGNE |
| Credential ID | 1568556 |
| Credential Number | DSMA.000505424 |
| Credential Type | Medication Administration Certification |
| Business Address |
P.o. Box 872, Roselle Rm 230 Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2003-10-25 |
| Effective Date | 2005-11-28 |
| Expiration Date | 2007-11-27 |
| Refresh Date | 2018-08-01 |
| 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 |
|---|---|---|---|
| Marlene Rhoden | 50 Deerfield Ave., Hartford, CT 06112 | Medication Administration Certification | ~ |
| Marlene Jones | 164 Oak St., Apt 1, Willimantic, CT 06226 | Medication Administration Certification | 2019-03-26 ~ 2021-03-25 |
| Marlene Paynter | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2014-04-12 ~ 2016-04-11 |
| Marlene Dias | 887 Grand St., Bridgeport, CT 06604 | Medication Administration Certification | 2019-06-14 ~ 2021-06-14 |
| Marlene Ortolaza | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2003-09-22 ~ 2005-09-21 |
| Marlene Smith | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 1992-01-18 ~ 1994-01-17 |
| Marlene Williams | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2008-09-17 ~ 2010-09-16 |
| Marlene Owen | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2008-10-05 ~ 2010-10-04 |
| Marlene Madera | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 1996-05-14 ~ 1998-05-13 |
| Marlene Teixeira | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2002-03-26 ~ 2004-03-25 |
Please comment or provide details below to improve the information on MARLENE CHAMPAGNE.
| 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).