EDNA IRIZARRY LEWIS (Credential# 1557685) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 16, 2017. The license expiration date date is December 15, 2019. The license status is INACTIVE.
EDNA IRIZARRY LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001720105. The credential type is medication administration certification. The effective date is December 16, 2017. The expiration date is December 15, 2019. The business address is 109 Legion Avenue, New Haven, CT 06519. The current status is inactive.
| Licensee Name | EDNA IRIZARRY LEWIS |
| Credential ID | 1557685 |
| Credential Number | DSMA.001720105 |
| Credential Type | Medication Administration Certification |
| Business Address |
109 Legion Avenue New Haven CT 06519 |
| Business Type | EMPLOYEE ONLY |
| Status | INACTIVE - LAPSED RENEWAL |
| Issue Date | 2015-12-28 |
| Effective Date | 2017-12-16 |
| Expiration Date | 2019-12-15 |
| Refresh Date | 2020-03-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1541928 | DSMA.001420105 | Medication Administration Certification | 2012-12-19 | 2015-12-16 - 2017-12-15 | INACTIVE |
| Street Address | 109 Legion Avenue |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Donahue | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Terrence Jackson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-10 ~ 2020-09-09 |
| Victor Austin | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-08 ~ 2020-09-08 |
| Keith Johnson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-22 ~ 2020-08-21 |
| Michelle Young | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-16 ~ 2020-08-15 |
| David Brown | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
| Shawn Wood | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Eric James | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-16 ~ 2020-07-15 |
| Nicole Gandossy | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-15 ~ 2020-07-14 |
| Diana Strong | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-28 ~ 2020-06-27 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edna Lewis | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2015-12-16 ~ 2017-12-15 |
| Joe Irizarry | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2012-06-30 ~ 2014-06-29 |
| Jazanyia Irizarry | 577 Farmington Ave., New Britain, CT 06053 | Medication Administration Certification | ~ |
| Adelita Irizarry | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2012-09-08 ~ 2014-09-07 |
| Vanessa Irizarry | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2010-09-20 ~ 2012-09-19 |
| Daisy Irizarry | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2014-02-28 ~ 2016-02-27 |
| Dalila Irizarry | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2010-02-19 ~ 2012-02-18 |
| Edielynn Irizarry | 950 Slater Road, New Britain, CT 06053 | Medication Administration Certification | 2013-07-21 ~ 2015-07-20 |
| Josefa Irizarry | 950 Slater Road, New Britain, CT 06053 | Medication Administration Certification | 2010-09-15 ~ 2012-09-14 |
| Chaz Irizarry | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2010-03-04 ~ 2012-03-03 |
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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).