STANFORD DOUGLAS (Credential# 1594399) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is February 21, 2019. The license expiration date date is February 21, 2021. The license status is ACTIVE.
STANFORD DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981003049. The credential type is medication administration certification. The effective date is February 21, 2019. The expiration date is February 21, 2021. The business address is 73 Evergreen Avenue, Hartford, CT 06105. The current status is active.
| Licensee Name | STANFORD DOUGLAS |
| Credential ID | 1594399 |
| Credential Number | DSMA.981003049 |
| Credential Type | Medication Administration Certification |
| Business Address |
73 Evergreen Avenue Hartford CT 06105 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2019-02-21 |
| Effective Date | 2019-02-21 |
| Expiration Date | 2021-02-21 |
| Refresh Date | 2019-02-21 |
| Street Address | 73 Evergreen Avenue |
| City | Hartford |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | Hartford |
| Zip Code | 06105 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deon Stanford | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1994-05-05 ~ 1996-05-04 |
| Kimberlin Stanford | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 1994-11-16 ~ 1996-11-15 |
| Nancy Stanford | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2004-12-19 ~ 2006-12-18 |
| Julie Stanford | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2006-05-26 ~ 2008-05-25 |
| Susan Stanford | 114 Sodom Lane, P.o. Box 127, Derby, CT 06418 | Medication Administration Certification | 1994-03-25 ~ 1996-03-24 |
| Angelique Stanford | 2011 John Fitch Blvd, South Windsor, CT 06074 | Medication Administration Certification | 2019-11-10 ~ 2021-11-09 |
| Stanford Dulaire | 693 Bloomfield Ave. Su. 202, Bloomfield, CT 06002 | Medication Administration Certification | 2016-10-20 ~ 2018-10-19 |
| Crystal Welch | 15 Douglas St, Hartford, CT 06114 | Medication Administration Certification | ~ |
| Tasha Douglas | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2011-08-23 ~ 2013-08-22 |
| Douglas Ashe | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2004-10-05 ~ 2006-10-04 |
Please comment or provide details below to improve the information on STANFORD DOUGLAS.
| 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).