DEREK FAUNTLEROY (Credential# 870219) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2022. The license status is ACTIVE.
DEREK FAUNTLEROY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.961205. The credential type is emergency medical technician. The effective date is January 1, 2020. The expiration date is December 31, 2022. The business address is 21 Lisa Lane, Uncasville, CT 06382. The current status is active.
Licensee Name | DEREK FAUNTLEROY |
Credential ID | 870219 |
Credential Number | 70.961205 |
Credential Type | Emergency Medical Technician |
Business Address |
21 Lisa Lane Uncasville CT 06382 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1996-06-01 |
Effective Date | 2020-01-01 |
Expiration Date | 2022-12-31 |
Refresh Date | 2019-08-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1662474 | 70 | Emergency Medical Technician | - | PENDING |
Street Address | 21 Lisa Lane |
City | Uncasville |
State | CT |
Zip Code | 06382 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Regina A Strand Od | 2020 Route 32, Uncasville, CT 06382 | Optometrist | 2020-07-01 ~ 2021-06-30 |
Heather Laithwaite Couch | 94 Richard Brown Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Karissa D. Farmer | 88 Park Ave, Uncasville, CT 06382 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ashley Vitale | 29 Carol Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Michele T. Lemieux | 32 Podurgiel Lane, Uncasville, CT 06382 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Angelica R Royer | 64 Fort Shantok Rd, Uncasville, CT 06382 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Thomas C Peter Md | 88 Norwich-new London Tpke, Uncasville, CT 06382 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Herb's Country Store | 1115 Norwich-new London Tpke, Uncasville, CT 06382 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Sharon M Leone | 26 Marcia Drive, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Jiang M Han | 114 B Woodland Dr, Uncasville, CT 06382 | Casino Class I Employee | 2019-12-03 ~ 2020-03-09 |
Find all Licenses in zip 06382 |
City | Uncasville |
Zip Code | 06382 |
License Type | Emergency Medical Technician |
License Type + County | Emergency Medical Technician + Uncasville |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Zenaida Fauntleroy | 887 Bank Street, Apt. 1, New London, CT 06320 | Emergency Medical Technician | ~ 1993-07-01 |
Derek Y Pang | 26 Brookridge Dr., Avon, CT 06001 | Emergency Medical Technician | ~ |
Derek B Gracy | 112 Meriden Ave, Southington, CT 06489-3213 | Emergency Medical Technician | ~ |
Derek G Parrott | 254 Brewster Rd, Milford, CT 06460-3738 | Emergency Medical Technician | ~ |
Derek Liu | 4 Country Squire Ln, Holmdel, NJ 07733-2368 | Emergency Medical Technician | ~ |
Derek Badichek | 23 Morgan Pl, Unionville, CT 06085-1177 | Emergency Medical Technician | 2018-08-02 ~ 2021-04-01 |
Derek M Paules | 38 Ryegate Rd, Fairfield, CT 06824-2951 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
Derek M Bennett | 342 E Main St, Wallingford, CT 06492-2553 | Emergency Medical Technician | 2010-12-21 ~ 2014-01-01 |
Derek J Trombas | 540 Emmett St, Bristol, CT 06010-7754 | Emergency Medical Technician | 2015-11-20 ~ 2018-07-01 |
Derek T Sterling | 10 Pequonnock Rd, Trumbull, CT 06611-4504 | Emergency Medical Technician | 2019-06-04 ~ 2022-03-31 |
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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).