PATRICE CLYBURN (Credential# 1550661) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 27, 2017. The license expiration date date is August 26, 2019. The license status is INACTIVE.
PATRICE CLYBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001730392. The credential type is medication administration certification. The effective date is August 27, 2017. The expiration date is August 26, 2019. The business address is 22 Woodrow St, Stamford, CT 06902. The current status is inactive.
| Licensee Name | PATRICE CLYBURN |
| Credential ID | 1550661 |
| Credential Number | DSMA.001730392 |
| Credential Type | Medication Administration Certification |
| Business Address |
22 Woodrow St Stamford CT 06902 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE |
| Issue Date | 2015-08-26 |
| Effective Date | 2017-08-27 |
| Expiration Date | 2019-08-26 |
| Refresh Date | 2020-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1534749 | DSMA.001530392 | Medication Administration Certification | 2013-09-01 | 2015-08-27 - 2017-08-26 | INACTIVE |
| 2013428 | DSMA | Medication Administration Certification | - | PENDING |
| Street Address | 22 Woodrow St |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delphine Clyburn | 175 Newhall St., New Haven, CT 06511 | Medication Administration Certification | 2018-12-11 ~ 2020-12-10 |
| Kimberly Clyburn | 5 Jeffrey Dr., South Windsor, CT 06074 | Medication Administration Certification | 2014-09-17 ~ 2016-09-16 |
| Patrice L Clyburn | 28 Hyatt Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2014-09-03 ~ 2019-09-30 |
| Patrice Little | 31 Enfield St B3, Hartdord, CT 06112 | Medication Administration Certification | ~ |
| Patrice Mason | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2013-12-05 ~ 2015-12-04 |
| Patrice Harding | 152 Morgan Ave., Bridgeport, CT 06606 | Medication Administration Certification | 2019-11-08 ~ 2021-11-08 |
| Patrice Hamilton | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-10-15 ~ 2013-10-14 |
| Patrice Brown | 131 Lexington Ave, New Haven, CT 06513-4422 | Medication Administration Certification | 2018-09-12 ~ 2020-09-11 |
| Patrice Wilson | 102 Wynola Ave, New Britain, CT 06051 | Medication Administration Certification | 2019-09-04 ~ 2021-09-04 |
| Patrice Peterson | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1997-02-10 ~ 1999-02-09 |
Please comment or provide details below to improve the information on PATRICE CLYBURN.
| 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).