ANTONNETTE SURGEON (Credential# 1555377) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is November 11, 2019. The license expiration date date is November 10, 2021. The license status is ACTIVE.
ANTONNETTE SURGEON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001734140. The credential type is medication administration certification. The effective date is November 11, 2019. The expiration date is November 10, 2021. The business address is 16 Church Street, Wethersfield, CT 06109. The current status is active.
| Licensee Name | ANTONNETTE SURGEON |
| Credential ID | 1555377 |
| Credential Number | DSMA.001734140 |
| Credential Type | Medication Administration Certification |
| Business Address |
16 Church Street Wethersfield CT 06109 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-12-13 |
| Effective Date | 2019-11-11 |
| Expiration Date | 2021-11-10 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1567945 | DSMA.001534140 | Medication Administration Certification | 2013-11-11 | 2015-11-11 - 2017-11-10 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonnette Surgeon | 16 Church St, Wethersfield, CT 06109-2310 | Registered Nurse | ~ |
| Street Address | 16 Church Street |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn Surgeon | 314 Main Street, Torrington, CT 06790 | Medication Administration Certification | 2012-11-01 ~ 2014-10-31 |
| Shirley Surgeon | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2004-06-16 ~ 2006-06-15 |
| Maria Antonnette Apilado Go | #9 Rebullos Street, Bauang, La Union, PH 2501 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Amy Newman | CT | Medication Administration Certification | 2018-11-19 ~ 2020-11-19 |
| William Yah | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Yahaira Ramirez | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Erika D'agostino | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Ann Ford | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 2004-06-18 ~ 2006-06-17 |
| Ann Hagaman | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2013-12-21 ~ 2015-12-20 |
| Tunde Olatunji | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
Please comment or provide details below to improve the information on ANTONNETTE SURGEON.
| 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).