JOHN PETERSEN (Credential# 1551089) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 11, 2018. The license expiration date date is July 10, 2020. The license status is ACTIVE.
JOHN PETERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001811145. The credential type is medication administration certification. The effective date is July 11, 2018. The expiration date is July 10, 2020. The business address is 36 Witheridge St., Feeding Hills, MA 01030. The current status is active.
| Licensee Name | JOHN PETERSEN |
| Credential ID | 1551089 |
| Credential Number | DSMA.001811145 |
| Credential Type | Medication Administration Certification |
| Business Address |
36 Witheridge St. Feeding Hills MA 01030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-06-19 |
| Effective Date | 2018-07-11 |
| Expiration Date | 2020-07-10 |
| Refresh Date | 2018-08-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1535780 | DSMA.001611145 | Medication Administration Certification | 2014-06-25 | 2016-07-11 - 2018-07-10 | INACTIVE |
| 1535779 | DSMA.001411145 | Medication Administration Certification | 2012-05-23 | 2014-07-11 - 2016-07-10 | INACTIVE |
| Street Address | 36 Witheridge St. |
| City | Feeding Hills |
| State | MA |
| Zip Code | 01030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juanita Buchanan | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2018-05-26 ~ 2020-05-25 |
| Jerome Campbell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2018-04-08 ~ 2020-04-07 |
| Denise Googe | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2017-05-18 ~ 2019-05-17 |
| Debra Nordell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2017-01-05 ~ 2019-01-04 |
| Ashlie Sheridan | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2016-06-14 ~ 2018-06-13 |
| Joyce Shell | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-06-28 ~ 2016-06-27 |
| Deborah Coyle | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-04-11 ~ 2016-04-10 |
| Steven Patterson | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2014-01-08 ~ 2016-01-07 |
| Latonia Stewart | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2012-06-20 ~ 2014-06-19 |
| Marcia Cole | 36 Witheridge St., Feeding Hills, MA 01030 | Medication Administration Certification | 2012-06-20 ~ 2014-06-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janeena J Ieraci | 35 Marlene Dr, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jared Hamre | 50 Stony Hill Rd, Feeding Hills, MA 01030 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Jacquelyn Cote | 424 Barry St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Seongsoun Kang | 232 Mapleview Lane, Feeding Hills, MA 01030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Richard W Gallerani | 656 Springfield St, Feeding Hills, MA 01030 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Lisa Frederick Alvarez | 86 Witheridge St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Allison Amanda Grubbs | 39 High Meadow Road, Feeding Hills, MA 01030 | Speech and Language Pathologist | ~ |
| Catherine M St. Laurent | 106 Columbia Drive, Feeding Hills, MA 01030 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Patricia E Milardo | 148 Roosevelt Ave., Feeding Hills, MA 01030 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Angela S Aussant | 52 Northwood Street, Feeding Hills, MA 01030 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 01030 | |||
| City | Feeding Hills |
| Zip Code | 01030 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Feeding Hills |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mirasol Petersen | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 1997-06-06 ~ 1999-06-05 |
| Barbara Petersen | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2002-06-09 ~ 2004-06-08 |
| Tinisha Petersen | 324 Park Terrace, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Joan Petersen | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2013-08-18 ~ 2015-08-17 |
| Heather-marie Petersen | 717 Park Rd, Waterbury, CT 06708 | Medication Administration Certification | 2020-01-14 ~ 2022-01-13 |
| John St. John | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1995-01-07 ~ 1997-01-06 |
| John St.john | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1995-01-07 ~ 1997-01-06 |
| Dwight G Petersen · P G Petersen Restorations | 39 Lancaster Rd, Manchester, CT 06040 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| John Thomas IIi | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-04-27 ~ 2019-04-26 |
| John Hay | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-10-30 ~ 2011-10-29 |
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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).