GARY GRAHAM (Credential# 1550263) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is May 10, 2018. The license expiration date date is May 9, 2020. The license status is LAPSED.
GARY GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001816157. The credential type is medication administration certification. The effective date is May 10, 2018. The expiration date is May 9, 2020. The business address is 29 North Plains Hwy Unit 15, Wallingford, CT 06492. The current status is lapsed.
| Licensee Name | GARY GRAHAM |
| Credential ID | 1550263 |
| Credential Number | DSMA.001816157 |
| Credential Type | Medication Administration Certification |
| Business Address |
29 North Plains Hwy Unit 15 Wallingford CT 06492 |
| Business Type | EMPLOYEE ONLY |
| Status | LAPSED - LAPSED RENEWAL |
| Active | 1 |
| Issue Date | 2016-05-10 |
| Effective Date | 2018-05-10 |
| Expiration Date | 2020-05-09 |
| Refresh Date | 2020-05-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1577412 | DSMA.000316157 | Medication Administration Certification | 2001-11-25 | 2003-11-06 - 2005-11-05 | INACTIVE |
| Street Address | 29 North Plains Hwy unit 15 |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Morrison | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-31 ~ 2020-08-30 |
| Kendall Potter | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Savon Armistead | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-12 ~ 2020-08-11 |
| Sonee Jones-mcknight | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-04 ~ 2020-08-03 |
| Jason Primini | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Destiny Smallwood-paige | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-01 ~ 2020-07-31 |
| Tamika Woodbridge | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
| Darnella Brooks | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
| Lynn Wylie | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-23 ~ 2020-07-22 |
| Shantale Billie | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keiyana Blackwell | 40 Graham St, Stratford, CT 06615 | Medication Administration Certification | ~ |
| Priscilla Graham | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2008-11-05 ~ 2010-11-04 |
| Latasha Graham | 308 Willow Street, Bridgeport, CT 06610 | Medication Administration Certification | ~ |
| Jerome Graham | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2011-07-30 ~ 2013-07-29 |
| Korrell Glenn | 239 Graham St., Stratford, CT 06615 | Medication Administration Certification | 2019-06-12 ~ 2021-06-11 |
| David Blackwell | 40 Graham St, Bridgeport, CT 06604 | Medication Administration Certification | 2019-07-22 ~ 2021-07-22 |
| Kim Graham | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 2005-07-02 ~ 2007-07-01 |
| Blayzah Graham | 18 Steven St, West Hartford, CT 06110 | Medication Administration Certification | ~ |
| Tynieshina Dotson | 203 Graham Street, Stratford, CT 06615 | Medication Administration Certification | ~ |
| Tobi Graham | 83 Windham Street, Willimantic, CT 06226 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on GARY GRAHAM.
| 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).