DELORES CLARK (Credential# 1553932) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2019. The license expiration date date is July 9, 2021. The license status is ACTIVE.
DELORES CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001728974. The credential type is medication administration certification. The effective date is July 10, 2019. The expiration date is July 9, 2021. The business address is 116 Cowles St., Bridgeport, CT 06608. The current status is active.
| Licensee Name | DELORES CLARK |
| Credential ID | 1553932 |
| Credential Number | DSMA.001728974 |
| Credential Type | Medication Administration Certification |
| Business Address |
116 Cowles St. Bridgeport CT 06608 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-06-01 |
| Effective Date | 2019-07-10 |
| Expiration Date | 2021-07-09 |
| Refresh Date | 2019-07-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1583631 | DSMA.001528974 | Medication Administration Certification | 2013-07-10 | 2015-07-10 - 2017-07-09 | INACTIVE |
| Street Address | 116 Cowles st. |
| City | Bridgeport |
| State | CT |
| Zip Code | 06608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luisa A Sierra | 199 Park Street, Bridgeport, CT 06608 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Cassandra Denise Narvaez | 751 Brooks St, Bridgeport, CT 06608 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Carleen Salmon | 824 Kossuth Street, Bridgeport, CT 06608 | Medication Administration Certification | ~ |
| Rochelle George | 858 Noble Avenue, Bridgeport, CT 06608 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marissa Mckelvie | 212 Hough Avenue, Bridgeport, CT 06608 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-14 |
| Erick Gonzalez | 536 Hallett St, Bridgeport, CT 06608 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Two Brothers Pizza House | 895 Noble Ave, Bridgeport, CT 06608 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angela M Smillie | 114 Orchard Street, Bridgeport, CT 06608 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tyra L Wallace | 302 Park Street, Bridgeport, CT 06608 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Keandra M. Snider | 65 Steuben Street 7, Bridgeport, CT 06608 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06608 | |||
| City | Bridgeport |
| Zip Code | 06608 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delores Stovall | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 1994-02-23 ~ 1996-02-22 |
| Delores Foreman | 476 Howard Ave, New Haven, CT 06519 | Medication Administration Certification | 2019-03-09 ~ 2021-03-08 |
| Delores Smith | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 2000-04-24 ~ 2002-04-23 |
| Delores Lawes | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 1996-02-16 ~ 1998-02-15 |
| Delores Nicholson | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2011-10-29 ~ 2013-10-28 |
| Delores Cantey | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 1999-02-07 ~ 2001-02-06 |
| Delores Daros | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2006-02-07 ~ 2008-02-06 |
| Delores Dibacco | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 1993-12-16 ~ 1995-12-15 |
| Dominique Delores Byrd | 267 Willow St., Waterbury, CT 06710 | Medication Administration Certification | 2019-06-12 ~ 2021-06-12 |
| Delores Warner | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1993-11-13 ~ 1995-11-12 |
Please comment or provide details below to improve the information on DELORES CLARK.
| 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).