REGINE CLARK (Credential# 1557030) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 14, 2017. The license expiration date date is December 13, 2019. The license status is INACTIVE.
REGINE CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001730851. The credential type is medication administration certification. The effective date is December 14, 2017. The expiration date is December 13, 2019. The business address is 35 Elm St., Naugatuck, CT 06770. The current status is inactive.
| Licensee Name | REGINE CLARK |
| Credential ID | 1557030 |
| Credential Number | DSMA.001730851 |
| Credential Type | Medication Administration Certification |
| Business Address |
35 Elm St. Naugatuck CT 06770 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-12-30 |
| Effective Date | 2017-12-14 |
| Expiration Date | 2019-12-13 |
| Refresh Date | 2020-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1581090 | DSMA.001530851 | Medication Administration Certification | 2013-12-09 | 2015-12-14 - 2017-12-13 | INACTIVE |
| Street Address | 35 Elm St. |
| City | Naugatuck |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Mcculloch | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2019-12-06 ~ 2021-12-05 |
| Garnette James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-10-17 ~ 2020-10-17 |
| Nicole Miele | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Jaevon Daniels | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-07 ~ 2020-09-07 |
| Jasmyne Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Michelle Muniz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-30 ~ 2020-08-30 |
| Tyana Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Tinika James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Paul Clark | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Daniel Panasci | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-20 ~ 2020-07-19 |
| Find all Licenses in the same address | |||
| 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 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| 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 |
|---|---|---|---|
| Regine Gouraige | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 1997-05-02 ~ 1999-05-01 |
| Poggio Delle Regine Red Castello Delle Regine Sangiovese | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-03-10 ~ 2011-03-09 |
| Castello Delle Regine Pogio Delle Regine Umbria | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2017-07-24 ~ 2020-07-23 |
| Castello Delle Regine Bianco Delle Regine Umbria | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-04-21 ~ 2014-04-20 |
| Castello Delle Regine Poggio Delle Regine Rosso | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-04-21 ~ 2014-04-20 |
| Kelly Guy | 22 Clark St, Hartford, CT 06120 | Medication Administration Certification | ~ |
| Richard Clark Jr. | 156 Jersey St., Waterbury, CT 06706 | Medication Administration Certification | ~ |
| Amy Clark | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2012-06-02 ~ 2014-06-01 |
| Dontai Clark | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2011-05-14 ~ 2013-05-13 |
| Paul Clark | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
Please comment or provide details below to improve the information on REGINE 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).