SAM DIAZ (Credential# 1575714) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 30, 2005. The license expiration date date is July 29, 2007. The license status is INACTIVE.
SAM DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000515352. The credential type is medication administration certification. The effective date is July 30, 2005. The expiration date is July 29, 2007. The business address is 135 North Plains Ind Rd, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | SAM DIAZ |
| Credential ID | 1575714 |
| Credential Number | DSMA.000515352 |
| Credential Type | Medication Administration Certification |
| Business Address |
135 North Plains Ind Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2003-06-10 |
| Effective Date | 2005-07-30 |
| Expiration Date | 2007-07-29 |
| Refresh Date | 2018-08-01 |
| Street Address | 135 North Plains Ind Rd |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothy Freelove | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
| Tai-riesha Collins | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Derrick Green | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-01 ~ 2020-06-30 |
| Reshaya Dreckett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Brittany Bennett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Real Estate Salesperson | 2019-03-07 ~ 2020-05-31 |
| Theresa Jacobs | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-17 ~ 2020-05-16 |
| Geraldine Allen | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-13 ~ 2020-05-12 |
| Pauline Frazier | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-03 ~ 2020-05-02 |
| Marie-louise Rustic | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-30 ~ 2020-04-29 |
| Shawn Rembert | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-20 ~ 2020-04-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashia Diaz | 61 Benson St, Fairfield, CT 06825 | Medication Administration Certification | ~ |
| Ernso Fleurimont | 85 Diaz St, Stamford, CT 06902 | Medication Administration Certification | ~ |
| Luz Diaz | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 1997-06-24 ~ 1999-06-23 |
| Lataya Diaz | 76 Tesiny Ave., Bridgeport, CT 06606 | Medication Administration Certification | ~ |
| Aracelis Diaz | 492 Noble Ave, Bridgeport, CT 06608 | Medication Administration Certification | ~ |
| Jason Diaz | 205 Summit St, Willimantic, CT 06226 | Medication Administration Certification | ~ |
| Hector Diaz | 729 Boyden St., Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Hector Diaz | 792 Boyden St., Waterbury, CT 06704 | Medication Administration Certification | 2016-01-15 ~ 2018-01-14 |
| Joseph Diaz | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2013-10-30 ~ 2015-10-29 |
| Marilyn Diaz | 485 Cook Ave, Meriden, CT 06451 | Medication Administration Certification | 2017-04-27 ~ 2019-04-26 |
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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).