KATHERINE BLACKMON (Credential# 1554779) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 29, 2019. The license expiration date date is November 28, 2021. The license status is ACTIVE.
KATHERINE BLACKMON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001713289. The credential type is medication administration certification. The effective date is November 29, 2019. The expiration date is November 28, 2021. The business address is 628 Russell St., New Haven, CT 06513. The current status is active.
| Licensee Name | KATHERINE BLACKMON |
| Credential ID | 1554779 |
| Credential Number | DSMA.001713289 |
| Credential Type | Medication Administration Certification |
| Business Address |
628 Russell St. New Haven CT 06513 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-12-05 |
| Effective Date | 2019-11-29 |
| Expiration Date | 2021-11-28 |
| Refresh Date | 2019-12-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1537817 | DSMA.001513289 | Medication Administration Certification | 2013-11-13 | 2015-11-29 - 2017-11-28 | INACTIVE |
| Street Address | 628 Russell St. |
| City | New Haven |
| State | CT |
| Zip Code | 06513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | New Haven |
| Zip Code | 06513 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathania Blackmon | 628 Russell Strteet, New Haven, CT 06513 | Medication Administration Certification | 2019-04-03 ~ 2021-04-03 |
| Michael Blackmon | 652 Willard Avenue, Newinton, CT 06111 | Medication Administration Certification | 1998-01-17 ~ 2000-01-16 |
| Katherine Civitello | 636 Rt 148, Killingworth, CT 06419 | Medication Administration Certification | ~ |
| Katherine Morse | Po Box 188, Lenoxdale, MA 01242 | Medication Administration Certification | 2020-03-18 ~ 2022-03-18 |
| Katherine Moorehead | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2007-12-11 ~ 2009-12-10 |
| Katherine Moyer | 16 Ann Street, Norwich, CT 06360 | Medication Administration Certification | ~ |
| Katherine Zygmont | 37 N. 3rd St., Meriden, CT 06451 | Medication Administration Certification | 2019-04-26 ~ 2021-04-25 |
| Katherine Nelson | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2007-04-25 ~ 2009-04-24 |
| Katherine Foy | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2004-02-29 ~ 2006-02-28 |
| Katherine Leblanc | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2009-09-22 ~ 2011-09-21 |
Please comment or provide details below to improve the information on KATHERINE BLACKMON.
| 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).