LIDELL PETTWAY (Credential# 1555585) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 8, 2019. The license expiration date date is June 7, 2021. The license status is ACTIVE.
LIDELL PETTWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001731830. The credential type is medication administration certification. The effective date is June 8, 2019. The expiration date is June 7, 2021. The business address is 230 Goddard Ave, Bridgeport, CT 06610. The current status is active.
| Licensee Name | LIDELL PETTWAY |
| Credential ID | 1555585 |
| Credential Number | DSMA.001731830 |
| Credential Type | Medication Administration Certification |
| Business Address |
230 Goddard Ave Bridgeport CT 06610 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-06-08 |
| Effective Date | 2019-06-08 |
| Expiration Date | 2021-06-07 |
| Refresh Date | 2019-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1568499 | DSMA.001431830 | Medication Administration Certification | 2012-07-16 | 2014-07-16 - 2016-07-15 | INACTIVE |
| Street Address | 230 Goddard Ave |
| City | Bridgeport |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | Bridgeport |
| Zip Code | 06610 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominique Pettway | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2014-12-02 ~ 2016-12-01 |
| Moses Pettway | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-12-19 ~ 2019-12-18 |
| Guretha Pettway | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2008-02-09 ~ 2010-02-08 |
| Tonnie Pettway | 45 Lincoln Street, Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Joyce Pettway | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2000-10-07 ~ 2002-10-06 |
| Ashley Pettway | 190 Southmayd Rd, Waterbury, CT 06703 | Medication Administration Certification | 2019-06-12 ~ 2021-06-11 |
| Michael1 Pettway | 21c Sky Hollow Court, Oakville, CT 06779 | Medication Administration Certification | ~ |
| Celena Pettway | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2008-05-17 ~ 2010-05-16 |
| Brenda Pettway | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-06-06 ~ 2020-06-05 |
| Shanna Pettway | 190 Southmayd Rd, Waterbury, CT 06705 | Medication Administration Certification | 2019-11-07 ~ 2021-11-06 |
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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).