KHALFANI FORBES (Credential# 1549992) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2019. The license expiration date date is June 29, 2021. The license status is ACTIVE.
KHALFANI FORBES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001726228. The credential type is medication administration certification. The effective date is June 30, 2019. The expiration date is June 29, 2021. The business address is 174 Massachusetts Avenue, Springfield, MA 01109. The current status is active.
| Licensee Name | KHALFANI FORBES |
| Credential ID | 1549992 |
| Credential Number | DSMA.001726228 |
| Credential Type | Medication Administration Certification |
| Business Address |
174 Massachusetts Avenue Springfield MA 01109 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-06-30 |
| Effective Date | 2019-06-30 |
| Expiration Date | 2021-06-29 |
| Refresh Date | 2019-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1576683 | DSMA.001426228 | Medication Administration Certification | 2012-12-19 | 2015-01-15 - 2017-01-14 | INACTIVE |
| Street Address | 174 Massachusetts Avenue |
| City | Springfield |
| State | MA |
| Zip Code | 01109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hye Jung Baek | 8 Cheyenne Rd, Springfield, MA 01109 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Michelle Stuart | 104 Undine Circle, Springfield, MA 01109 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Carol E Smith | 62 Mapledell Street, Springfield, MA 01109 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Christopher Hoang Lo | 199 Eastern Avenue, Springfield, MA 01109 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian K Pickard | 57 Leatherleaf Dr, Springfield, MA 01109 | Heating, Piping & Cooling Limited Journeyperson | 2020-05-08 ~ 2020-08-31 |
| Mark H Stevens | 33 Monticello Ave., Springfield, MA 01109 | Optician | 2020-06-01 ~ 2021-05-31 |
| Van E Solivan | 115 Breckwood Blvd., Springfield, MA 01109 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Johnnie Perry | 89 Grape Street, Springfield, MA 01109 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Takeshia Crowder | 36 Clarendon St., Springfield, MA 01109 | Licensed Practical Nurse | ~ |
| Alanna Johnson | 116 Marlborough Street, Springfield, MA 01109 | Medication Administration Certification | 2020-02-10 ~ 2022-02-10 |
| Find all Licenses in zip 01109 | |||
| City | Springfield |
| Zip Code | 01109 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Forbes | 561 New Britain Ave., Hartford, CT 06106 | Medication Administration Certification | 2018-12-23 ~ 2020-12-22 |
| Delroy Forbes | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2015-03-21 ~ 2017-03-20 |
| Melanie Davila | 51 Forbes Street, Manchester, CT 06108 | Medication Administration Certification | ~ |
| Margaret Forbes | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2018-05-16 ~ 2020-05-15 |
| David Forbes | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1999-12-19 ~ 2001-12-18 |
| Omari Forbes | 20 Benton Street, Hartford, CT 06114 | Medication Administration Certification | ~ |
| Ravonda Forbes | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2001-04-21 ~ 2003-04-20 |
| Latasha Forbes | 218 Washington Street, Norwich, CT 06360 | Medication Administration Certification | 2019-05-28 ~ 2021-05-28 |
| Sashana Forbes | 173 Knollwood Road, Newington, CT 06111 | Medication Administration Certification | 2019-06-06 ~ 2021-06-05 |
| Lori Forbes | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 2018-08-24 ~ 2020-08-23 |
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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).