KEVIN CROCKETT (Credential# 1538990) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 10, 1999. The license expiration date date is September 9, 2001. The license status is INACTIVE.
KEVIN CROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.009904738. The credential type is medication administration certification. The effective date is September 10, 1999. The expiration date is September 9, 2001. The business address is 320 Old Hill Road, Hamden, CT 06514. The current status is inactive.
| Licensee Name | KEVIN CROCKETT |
| Credential ID | 1538990 |
| Credential Number | DSMA.009904738 |
| Credential Type | Medication Administration Certification |
| Business Address |
320 Old Hill Road Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 1997-09-04 |
| Effective Date | 1999-09-10 |
| Expiration Date | 2001-09-09 |
| Refresh Date | 2018-08-01 |
| Street Address | 320 Old Hill Road |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Opportunity (alpha) | 320 Old Hill Road, Hamden, CT 06514 | Community Living Arrangement | 2018-08-01 ~ 2020-07-31 |
| Jacqueline Parker | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-05-13 ~ 2020-05-12 |
| Douglas Shaheen | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-04-27 ~ 2020-04-26 |
| Nancy Kelly | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-04-22 ~ 2020-04-21 |
| Joshua Snipes | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-04-04 ~ 2020-04-03 |
| Wendy Simpson | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-03-25 ~ 2020-03-24 |
| Myles Anderson | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-03-04 ~ 2020-03-03 |
| Joel Martin | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2018-02-04 ~ 2020-02-03 |
| Kimberly Taft | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2017-12-20 ~ 2019-12-19 |
| Kennitha Jones | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 2017-06-13 ~ 2019-06-12 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Crockett | CT | Medication Administration Certification | 2018-09-28 ~ 2020-09-28 |
| Michele Crockett | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 2009-03-12 ~ 2011-03-11 |
| Gertlurella Crockett | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-01-07 ~ 2020-01-06 |
| Ian Crockett | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2002-03-10 ~ 2004-03-09 |
| David Crockett | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 1994-12-08 ~ 1996-12-07 |
| John Crockett | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 1992-04-28 ~ 1994-04-27 |
| Timothy Crockett | 1363 Quinnipiac Ap K, New Haven, CT 06513 | Medication Administration Certification | 2019-05-02 ~ 2021-05-02 |
| Dwana Crockett | 124 Pheasant Road, West Haven, CT 06516 | Medication Administration Certification | 2019-04-07 ~ 2021-04-06 |
| Kevin Tu | 37 Irvington Ave, Waterbury, CT 06708 | Medication Administration Certification | ~ |
| Kevin Boyd | 57 Longmeadow Ave., Hamden, CT 06514 | Medication Administration Certification | ~ |
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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).