JAY HAACK (Credential# 1554032) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 12, 2018. The license expiration date date is July 11, 2020. The license status is ACTIVE.
JAY HAACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001804936. The credential type is medication administration certification. The effective date is July 12, 2018. The expiration date is July 11, 2020. The business address is 589 High Street, Naugatuck, CT 06770. The current status is active.
| Licensee Name | JAY HAACK |
| Credential ID | 1554032 |
| Credential Number | DSMA.001804936 |
| Credential Type | Medication Administration Certification |
| Business Address |
589 High Street Naugatuck CT 06770 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - IN RENEWAL |
| Active | 1 |
| Issue Date | 2016-07-12 |
| Effective Date | 2018-07-12 |
| Expiration Date | 2020-07-11 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1583847 | DSMA.001604936 | Medication Administration Certification | 2014-06-29 | 2016-07-12 - 2018-07-11 | INACTIVE |
| 1570156 | DSMA.001404936 | Medication Administration Certification | 2012-07-03 | 2014-07-12 - 2016-07-11 | INACTIVE |
| Street Address | 589 High Street |
| City | Naugatuck |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Leigha E Molligi | 32 Bird Rd, Naugatuck, CT 06770 | Esthetician | 2020-06-24 ~ 2022-03-31 |
| Find all Licenses in zip 06770 | |||
| City | Naugatuck |
| Zip Code | 06770 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Naugatuck |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Haack | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1997-01-31 ~ 1999-01-30 |
| Caitlin J Haack | 9 Birch Rd, New Fairfield, CT 06812-2612 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Daniel C Haack | 837 Buddington Rd, Groton, CT 06340-3289 | Emergency Medical Technician | 2013-09-23 ~ 2015-10-01 |
| Richard G Haack | 20 Russell St, Manchester, CT 06040 | Home Improvement Contractor | ~ 1995-10-01 |
| Kathleen Haack | 212 Route 164, Preston, CT 06365 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Linda E Dirgo · Haack | 9 Medway Road, Waterbury, CT 06708 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Anne K Haack | 36 Knollwood Lane, Darien, CT 06820 | Emergency Medical Technician | ~ 2001-01-01 |
| Robert G Haack · Kevin J Bendler | 9 Birch Rd, New Fairfield, CT 06812 | Real Estate Salesperson | 1999-06-08 ~ 2000-05-31 |
| Daniel C Haack | 837 Buddington Road, Groton, CT 06340 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Tammy J Haack | 11 Granby Farms Rd, Granby, CT 06035 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on JAY HAACK.
| 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).