DYLAN JACK (Credential# 1548792) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is October 25, 2018. The license expiration date date is October 24, 2020. The license status is ACTIVE.
DYLAN JACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001628995. The credential type is medication administration certification. The effective date is October 25, 2018. The expiration date is October 24, 2020. The business address is 200 John Olds Dr, Manchester, CT 06040. The current status is active.
| Licensee Name | DYLAN JACK |
| Credential ID | 1548792 |
| Credential Number | DSMA.001628995 |
| Credential Type | Medication Administration Certification |
| Business Address |
200 John Olds Dr Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-09-24 |
| Effective Date | 2018-10-25 |
| Expiration Date | 2020-10-24 |
| Refresh Date | 2018-10-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1574921 | DSMA.001428995 | Medication Administration Certification | 2012-10-24 | 2014-10-25 - 2016-10-24 | INACTIVE |
| Street Address | 200 John Olds Dr |
| City | Manchester |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omar Ortiz | 200 John Olds Dr, Manchester, CT 06042-8807 | Emergency Medical Responder | 2019-07-26 ~ 2022-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | Manchester |
| Zip Code | 06040 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Manchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dylan Monem | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2009-05-22 ~ 2011-05-21 |
| Dylan Pesino | 30 Main St., Burlington, CT 06013 | Medication Administration Certification | 2019-10-18 ~ 2021-10-18 |
| Dylan Breton | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2017-03-07 ~ 2019-03-06 |
| Dylan Emery | 42 Perry Avenue, Norwich, CT 06360 | Medication Administration Certification | 2020-02-20 ~ 2022-02-20 |
| Dylan Loper | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2011-03-26 ~ 2013-03-25 |
| Dylan Saco Hoyt | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2011-02-18 ~ 2013-02-17 |
| Dylan Lincoln | 495 Laurel Road Apt 6k, Norwich, CT 06360 | Medication Administration Certification | 2019-10-28 ~ 2021-10-28 |
| Dylan Autunno | 310 Eddy Glover Blvd, New Britain, CT 06053-2451 | Medication Administration Certification | 2020-03-02 ~ 2022-03-01 |
| Dylan Holmes | 19 Kensington Lane, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-05-10 ~ 2019-05-09 |
| Lisa Jack | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2013-09-17 ~ 2015-09-16 |
Please comment or provide details below to improve the information on DYLAN JACK.
| 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).