TYEISHA BAUCOM
Medication Administration Certification


Address: 22 West Porter St, Waterbury, CT 06708

TYEISHA BAUCOM (Credential# 1671415) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 27, 2019. The license expiration date date is December 27, 2021. The license status is ACTIVE.

Business Overview

TYEISHA BAUCOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981004608. The credential type is medication administration certification. The effective date is December 27, 2019. The expiration date is December 27, 2021. The business address is 22 West Porter St, Waterbury, CT 06708. The current status is active.

Basic Information

Licensee Name TYEISHA BAUCOM
Credential ID 1671415
Credential Number DSMA.981004608
Credential Type Medication Administration Certification
Business Address 22 West Porter St
Waterbury
CT 06708
Business Type EMPLOYEE ONLY
Status ACTIVE - CERTIFIED
Active 1
Issue Date 2019-12-27
Effective Date 2019-12-27
Expiration Date 2021-12-27
Refresh Date 2019-12-27

Office Location

Street Address 22 WEST PORTER ST
City WATERBURY
State CT
Zip Code 06708

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Joseph Silva 65 Dixie Ave., Waterbury, CT 06708 Medication Administration Certification 2020-06-03 ~ 2022-06-02
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Peter Mmangisa Chonga 119 Taft Pt, Waterbury, CT 06708 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WATERBURY
Zip Code 06708
License Type Medication Administration Certification
License Type + County Medication Administration Certification + WATERBURY

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Tyeisha King 135 North Plains Ind Rd, Wallingford, CT 06492 Medication Administration Certification 2017-12-05 ~ 2019-12-04
Tyeisha White 120 Holcomb Street, Hartford, CT 06112-1589 Medication Administration Certification 2007-06-29 ~ 2009-06-28
Earnest L Baucom Po Box 1261, Valley, AL 36854 Professional Engineer 2020-02-01 ~ 2021-01-31
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Kelly Ann Baucom 9116 Sw 51st Rd, Gainesville, FL 32608 Registered Nurse 2017-12-15 ~ 2018-11-30
Markiea Baucom-dolphy 175 Devonwood Dr, Waterbury, CT 06708-2325 Licensed Practical Nurse 2020-03-11 ~ 2020-06-30
Tyeisha M Lambert 10 Housatonic Ave Apt #c, Milford, CT 06460 Pharmacy Technician 2007-05-30 ~ 2008-03-31
Tyeisha S White 101 Rosemont St, Hartford, CT 06120-1125 Hairdresser/cosmetician 2000-03-01 ~ 2001-02-28
Keiyana Tyeisha Grant 19 Woodmere Rd, Bristol, CT 06010-7630 Hairdresser/cosmetician 2019-08-19 ~ 2021-04-30

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Dataset Information

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).

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