SHANNON KLOCK (Credential# 1543581) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 21, 2015. The license expiration date date is November 20, 2017. The license status is INACTIVE.
SHANNON KLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001534199. The credential type is medication administration certification. The effective date is November 21, 2015. The expiration date is November 20, 2017. The business address is 201 W. Main Street, Plantsville, CT 06479. The current status is inactive.
| Licensee Name | SHANNON KLOCK |
| Credential ID | 1543581 |
| Credential Number | DSMA.001534199 |
| Credential Type | Medication Administration Certification |
| Business Address |
201 W. Main Street Plantsville CT 06479 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-11-21 |
| Effective Date | 2015-11-21 |
| Expiration Date | 2017-11-20 |
| Refresh Date | 2018-08-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Klock | 110 Collie Brook Rd, East Hampton, CT 06424 | Master's Level Social Worker - Temporary Permit | 2020-06-17 ~ 2020-09-11 |
| Street Address | 201 W. Main Street |
| City | Plantsville |
| State | CT |
| Zip Code | 06479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elliot Tellado | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2019-10-06 ~ 2021-10-05 |
| Carylon Stallings | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2019-01-07 ~ 2021-01-07 |
| Rashaan Mcrae | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-10-05 ~ 2020-10-05 |
| La'kenya Cain | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-09-17 ~ 2020-09-17 |
| Dina Duprey-smith | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-05-25 ~ 2020-05-24 |
| Ashley Reyes | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-05-21 ~ 2020-05-20 |
| Daniel Navarro | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-04-03 ~ 2020-04-02 |
| Tiffany Simms | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-02-12 ~ 2020-02-11 |
| Jezel Almedina | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2018-01-11 ~ 2020-01-10 |
| Gary Gordon | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2017-12-30 ~ 2019-12-29 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | Plantsville |
| Zip Code | 06479 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Plantsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Culley | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2001-08-21 ~ 2003-08-20 |
| Shannon Cruz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-08-04 ~ 2019-08-03 |
| Shannon Jenkins | 306 Elm Street, Meriden, CT 06450 | Medication Administration Certification | ~ |
| Shannon Belbusti | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2016-02-18 ~ 2018-02-17 |
| Shannon Napiello | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2007-05-29 ~ 2009-05-28 |
| Shannon Mckenna | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2018-06-25 ~ 2020-06-24 |
| Belinda Shannon | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-12-18 ~ 2013-12-17 |
| Shannon Petty | 99 Newhall St, New Haven, CT 06511 | Medication Administration Certification | 2018-10-18 ~ 2020-10-17 |
| Shannon Brown | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 2010-10-06 ~ 2012-10-05 |
| Shannon Rowback | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2008-09-20 ~ 2010-09-19 |
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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).