CANDICE BROCKENBERRY (Credential# 1542772) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 29, 2009. The license expiration date date is November 28, 2011. The license status is INACTIVE.
CANDICE BROCKENBERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000921644. The credential type is medication administration certification. The effective date is November 29, 2009. The expiration date is November 28, 2011. The business address is 35 Elm St., Naugatuck, CT 06770. The current status is inactive.
| Licensee Name | CANDICE BROCKENBERRY |
| Credential ID | 1542772 |
| Credential Number | DSMA.000921644 |
| Credential Type | Medication Administration Certification |
| Business Address |
35 Elm St. Naugatuck CT 06770 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-12-03 |
| Effective Date | 2009-11-29 |
| Expiration Date | 2011-11-28 |
| Refresh Date | 2018-08-01 |
| Street Address | 35 Elm St. |
| City | Naugatuck |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Mcculloch | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2019-12-06 ~ 2021-12-05 |
| Garnette James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-10-17 ~ 2020-10-17 |
| Nicole Miele | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Jaevon Daniels | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-07 ~ 2020-09-07 |
| Jasmyne Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Michelle Muniz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-30 ~ 2020-08-30 |
| Tyana Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Tinika James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Paul Clark | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Daniel Panasci | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-20 ~ 2020-07-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06770 | |||
| City | Naugatuck |
| Zip Code | 06770 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Naugatuck |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| April Brockenberry | 121 Carmel Street, New Haven, CT 06511 | Medication Administration Certification | 2019-11-08 ~ 2021-11-08 |
| Brenda Brockenberry | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2011-08-05 ~ 2013-08-04 |
| Donna Brockenberry | 246 Post Road East, Westport, CT 06880-3615 | Medication Administration Certification | 1998-11-17 ~ 2000-11-16 |
| Candice Stone | 300 Stevens St, Bristol, CT 06010 | Medication Administration Certification | ~ |
| Candice Hamilton | 286 South Elm St, Wallingford, CT 06492 | Medication Administration Certification | ~ |
| Candice Banks | 40 Seymore St, Manchester, CT 06042 | Medication Administration Certification | ~ |
| Candice Laing | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2006-09-22 ~ 2008-09-21 |
| Candice Hamilton | 286 South Elm Street, Wallingford, CT 06492 | Medication Administration Certification | ~ |
| Candice Peckham | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 2004-02-21 ~ 2006-02-20 |
| Candice Hall | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2017-12-05 ~ 2019-12-04 |
Please comment or provide details below to improve the information on CANDICE BROCKENBERRY.
| 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).