JACQUELINE CLARK (Credential# 1556898) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2019. The license expiration date date is March 11, 2021. The license status is ACTIVE.
JACQUELINE CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001702578. The credential type is medication administration certification. The effective date is March 12, 2019. The expiration date is March 11, 2021. The business address is 138 Eagle Hollow Rd, Middletown, CT 06457. The current status is active.
| Licensee Name | JACQUELINE CLARK |
| Credential ID | 1556898 |
| Credential Number | DSMA.001702578 |
| Credential Type | Medication Administration Certification |
| Business Address |
138 Eagle Hollow Rd Middletown CT 06457 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-03-02 |
| Effective Date | 2019-03-12 |
| Expiration Date | 2021-03-11 |
| Refresh Date | 2019-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1540769 | DSMA.001502578 | Medication Administration Certification | 2013-03-11 | 2015-03-12 - 2017-03-11 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Clark | 104 Mallard Drive, Unionville, CT 06085 | Notary Public Appointment | 1974-10-31 ~ 1979-03-31 |
| Jacqueline Clark | 24 Fleming Ct, Groton, CT 06340-4006 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
| Street Address | 138 Eagle Hollow Rd |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Roy | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2004-10-04 ~ 2006-10-03 |
| Jacqueline Barbour | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2014-12-13 ~ 2016-12-12 |
| Jacqueline Pellerin | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 1998-12-22 ~ 2000-12-21 |
| Jacqueline Edwards | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2012-05-22 ~ 2014-05-21 |
| Jacqueline Harvey | 569 Whalley Ave. 2nd Fl, New Haven, CT 06511 | Medication Administration Certification | 2020-02-03 ~ 2022-02-02 |
| Jacqueline Greenwood | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2010-11-24 ~ 2012-11-23 |
| Jacqueline Husser | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2002-01-09 ~ 2004-01-08 |
| Jacqueline Cambridge | 99 Winsted Rd., Torrington, CT 06790 | Medication Administration Certification | 2017-11-09 ~ 2019-11-08 |
| Jacqueline Stratoudakis | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-07-03 ~ 2020-07-02 |
| Jacqueline Matheny | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2005-06-01 ~ 2007-05-31 |
Please comment or provide details below to improve the information on JACQUELINE 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).