SHIRLEY BROADNAX (Credential# 1535071) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is October 23, 2013. The license expiration date date is October 22, 2015. The license status is INACTIVE.
SHIRLEY BROADNAX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001304807. The credential type is medication administration certification. The effective date is October 23, 2013. The expiration date is October 22, 2015. The business address is P.o. Box 872, Roselle Rm 230, Southbury, CT 06488. The current status is inactive.
| Licensee Name | SHIRLEY BROADNAX |
| Credential ID | 1535071 |
| Credential Number | DSMA.001304807 |
| Credential Type | Medication Administration Certification |
| Business Address |
P.o. Box 872, Roselle Rm 230 Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-09-26 |
| Effective Date | 2013-10-23 |
| Expiration Date | 2015-10-22 |
| Refresh Date | 2018-08-01 |
| Street Address | P.O. Box 872, Roselle Rm 230 |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pauline Whipple | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-10-01 ~ 2020-09-30 |
| Linda Renfro | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-23 ~ 2020-09-22 |
| Arthur Bernabucci | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Samuel Cummings Sr | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-15 ~ 2020-09-14 |
| Jacqueline Gibson | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-14 ~ 2020-09-13 |
| Sandra Doughty | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-09-01 ~ 2020-08-31 |
| Hong Lee | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-30 ~ 2020-08-29 |
| Charles Cowan | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Keona Leary | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Michael Washington | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-29 ~ 2020-08-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Broadnax | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2004-12-22 ~ 2006-12-21 |
| Donna Broadnax | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2000-06-08 ~ 2002-06-07 |
| Shirley Williams | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2002-11-04 ~ 2004-11-03 |
| Shirley Caron | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2015-04-15 ~ 2017-04-14 |
| Cherlisa Beverley | 4b Shirley Way, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Shirley Gregory | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Shirley Hall | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-03-20 ~ 2011-03-19 |
| Shirley Watson | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 1998-11-24 ~ 2000-11-23 |
| Shirley Schmidt | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2017-03-17 ~ 2019-03-16 |
| Shirley Webb | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1995-04-22 ~ 1997-04-21 |
Please comment or provide details below to improve the information on SHIRLEY BROADNAX.
| 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).