LARRY SOUTHERN (Credential# 1549139) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2021. The license status is ACTIVE.
LARRY SOUTHERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001718673. The credential type is medication administration certification. The effective date is September 1, 2019. The expiration date is August 31, 2021. The business address is 925 Oronoke Rd, Waterbury, CT 06708. The current status is active.
| Licensee Name | LARRY SOUTHERN |
| Credential ID | 1549139 |
| Credential Number | DSMA.001718673 |
| Credential Type | Medication Administration Certification |
| Business Address |
925 Oronoke Rd Waterbury CT 06708 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-08-31 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2019-09-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1552177 | DSMA.001518673 | Medication Administration Certification | 2013-06-27 | 2015-09-01 - 2017-08-31 | INACTIVE |
| Street Address | 925 Oronoke Rd |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Daniel Berisha | 925 Oronoke Rd, Waterbury, CT 06708 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Jessica Branco | 925 Oronoke Rd, Waterbury, CT 06708-3945 | Barber | 2019-02-01 ~ 2021-01-31 |
| Joseph T Berger | 925 Oronoke Rd, Waterbury, CT 06708-3945 | Home Improvement Salesperson | 2019-12-16 ~ 2020-11-30 |
| Brenna M Yantorno | 925 Oronoke Rd, Waterbury, CT 06708-3945 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Taneshia Harper | 925 Oronoke Rd, Waterbury, CT 06708-3948 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Deep M Desai | 925 Oronoke Rd, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Meghna Desai | 925 Oronoke Rd, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lyndsay Wasilus | 925 Oronoke Rd, Waterbury, CT 06708-3945 | Pharmacy Technician | 2015-03-06 ~ 2016-03-31 |
| Marie C Cipriano | 925 Oronoke Rd, Waterbury, CT 06708-3945 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tiffany Inez Nicholson | 23 Howland St, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Southern | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1993-11-03 ~ 1995-11-02 |
| Kierra Southern | P.o. Box 909 355 Goshen Rd., Litchfield, CT 06759 | Medication Administration Certification | 2016-12-10 ~ 2018-12-09 |
| Paul Southern | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1994-05-17 ~ 1996-05-16 |
| Larry Beaird | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2011-08-19 ~ 2013-08-18 |
| Larry Smith | 161 Justice Street, Stratford, CT 06615 | Medication Administration Certification | ~ |
| Larry Burns II | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 2000-10-23 ~ 2002-10-22 |
| Larry Coyle | 60 S. Prospect St Apt A, Hartford, CT 06106 | Medication Administration Certification | 2019-12-02 ~ 2021-12-01 |
| Larry Pelzer | 22g Wedgewood Drive, Bloomfield, CT 06002 | Medication Administration Certification | ~ |
| Larry Johnson | 45 Dwight Street, New Britain, CT 06051 | Medication Administration Certification | ~ |
| Larry Callands | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2008-11-16 ~ 2010-11-15 |
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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).