DEREK J MARTIN (Credential# 1163229) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2022. The license status is ACTIVE.
DEREK J MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.016270. The credential type is emergency medical technician. The effective date is April 1, 2019. The expiration date is March 31, 2022. The business address is 96 N Farms Rd, Coventry, CT 06238-1268. The current status is active.
| Licensee Name | DEREK J MARTIN |
| Credential ID | 1163229 |
| Credential Number | 70.016270 |
| Credential Type | Emergency Medical Technician |
| Business Address |
96 N Farms Rd Coventry CT 06238-1268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-05-29 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2019-04-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2004758 | 10.168791 | Registered Nurse | 2020-02-26 | 2020-02-26 - 2021-01-31 | ACTIVE |
| 874910 | 71.000914 | Advanced Emergency Medical Technician | 2008-06-18 | 2010-03-09 - 2013-03-31 | INACTIVE |
| Street Address | 96 N FARMS RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-1268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee K Lydon | 90 N Farms Rd, Coventry, CT 06238-1268 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Tracy L Cormier | 34 N Farms Rd, Coventry, CT 06238-1268 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Aiden J Borruso | 32 N Farms Rd, Coventry, CT 06238-1268 | Emergency Medical Technician | 2019-10-10 ~ 2022-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael D Martin | 359 Martin Rd, Hebron, CT 06248-1253 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
| 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 B Gracy | 112 Meriden Ave, Southington, CT 06489-3213 | Emergency Medical Technician | ~ |
| Derek Y Pang | 26 Brookridge Dr., Avon, CT 06001 | Emergency Medical Technician | ~ |
| Derek Badichek | 23 Morgan Pl, Unionville, CT 06085-1177 | Emergency Medical Technician | 2018-08-02 ~ 2021-04-01 |
| Derek W Smith | 4 Hamilton Pl, Clinton, NY 13323-1344 | Emergency Medical Technician | 2013-08-14 ~ 2016-04-01 |
| Derek S Gaston | 48 Deerfield Dr, Manchester, CT 06040-3819 | Emergency Medical Technician | 2020-04-01 ~ 2022-03-31 |
| Derek T Sterling | 10 Pequonnock Rd, Trumbull, CT 06611-4504 | Emergency Medical Technician | 2019-06-04 ~ 2022-03-31 |
| Derek A Helmecki | 5 Hart St, Burlington, CT 06013-2226 | Emergency Medical Technician | 2018-07-10 ~ 2022-04-01 |
Please comment or provide details below to improve the information on DEREK J MARTIN.
| 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).