AUDRA CLARK (Credential# 1540546) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2010. The license expiration date date is June 4, 2012. The license status is INACTIVE.
AUDRA CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001000684. The credential type is medication administration certification. The effective date is June 5, 2010. The expiration date is June 4, 2012. The business address is 72 Washington Ave., North Haven, CT 06473. The current status is inactive.
| Licensee Name | AUDRA CLARK |
| Credential ID | 1540546 |
| Credential Number | DSMA.001000684 |
| Credential Type | Medication Administration Certification |
| Business Address |
72 Washington Ave. North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-06-05 |
| Effective Date | 2010-06-05 |
| Expiration Date | 2012-06-04 |
| Refresh Date | 2018-08-01 |
| Street Address | 72 Washington Ave. |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanisha Roach | 72 Washington Ave., North Haven, CT 06473 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Donaja Richardson | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2019-04-05 ~ 2021-04-04 |
| Erica Brooks | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-29 ~ 2020-08-29 |
| Eva Green | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-16 ~ 2020-08-15 |
| Tia Smith | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Courtney Asbury | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Kayla Washington | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-27 ~ 2020-07-26 |
| Derek Smith | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-14 ~ 2020-07-13 |
| Patricia Marinuzzi | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-07-04 ~ 2020-07-03 |
| Tya Charles | 72 Washington Ave., North Haven, CT 06473 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audra Whittaby | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-12-18 ~ 2016-12-17 |
| Audra Smolenski | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 1996-10-08 ~ 1998-10-07 |
| Audra Strolin | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1992-02-17 ~ 1994-02-16 |
| Audra Spellman | 236 F Oakville Ave, Waterbury, CT 06708 | Medication Administration Certification | 2019-12-06 ~ 2021-12-05 |
| Audra Maclaren | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2001-11-20 ~ 2003-11-19 |
| Audra Myers | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2003-02-24 ~ 2005-02-23 |
| Audra Oliver | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2005-12-16 ~ 2007-12-15 |
| Kelly Guy | 22 Clark St, Hartford, CT 06120 | Medication Administration Certification | ~ |
| Deneisha Anderson | 172 Clark St., Hartford, CT 06120 | Medication Administration Certification | ~ |
| Linda Clark | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2002-01-20 ~ 2004-01-19 |
Please comment or provide details below to improve the information on AUDRA CLARK.
| 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).