DIANE KSZYWANOS (Credential# 1558128) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2020. The license expiration date date is June 15, 2022. The license status is ACTIVE.
DIANE KSZYWANOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001811408. The credential type is medication administration certification. The effective date is June 16, 2020. The expiration date is June 15, 2022. The business address is 23 Hoop Pole Hill Road, Chester, CT 06412. The current status is active.
| Licensee Name | DIANE KSZYWANOS |
| Credential ID | 1558128 |
| Credential Number | DSMA.001811408 |
| Credential Type | Medication Administration Certification |
| Business Address |
23 Hoop Pole Hill Road Chester CT 06412 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-06-06 |
| Effective Date | 2020-06-16 |
| Expiration Date | 2022-06-15 |
| Refresh Date | 2020-05-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1542902 | DSMA.001611408 | Medication Administration Certification | 2014-06-02 | 2016-06-16 - 2018-06-15 | INACTIVE |
| 1582931 | DSMA.001411408 | Medication Administration Certification | 2012-05-07 | 2014-06-16 - 2016-06-15 | INACTIVE |
| Street Address | 23 Hoop Pole Hill Road |
| City | Chester |
| State | CT |
| Zip Code | 06412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon M Lavy | 1 Bokum Road, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Charles G Mueller | 44 Straits Rd, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sharon T Kayser | 28 Old Depot Road, Chester, CT 06412 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Riggles | 9 Middlesex Avenue, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Chandra Burton | 21 Goosehill Rd, Chester, CT 06412 | Medication Administration Certification | ~ |
| Joseph E Shrack | Chester Veterinary Clinic, Chester, CT 06412 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Hannah Palmisano | Po Box 661, Chester, CT 06412 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Steven E Tiezzi | 19 Kings Hwy, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
| Priscilla K Grzybowski | 19 Bartkiewitz Road, Chester, CT 06412 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Erin K F Saglimbeni | 161 Middlesex Ave, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06412 | |||
| City | Chester |
| Zip Code | 06412 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Chester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Noreikis | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2015-07-18 ~ 2017-07-17 |
| Diane Higgins | Po Box 136, Poquonock, CT 06064 | Medication Administration Certification | 2019-11-09 ~ 2021-11-08 |
| Diane Botelho | 851 Laurel Ave, Bridgeport, CT 06604 | Medication Administration Certification | ~ |
| Diane Meyerholz | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2012-11-18 ~ 2014-11-17 |
| Diane Latvis | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1993-11-07 ~ 1995-11-06 |
| Diane Cash | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2009-05-22 ~ 2011-05-21 |
| Diane Bourgoin | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1991-10-30 ~ 1993-10-29 |
| Diane Robinson | 341 Sherman Ave., New Haven, CT 06511 | Medication Administration Certification | ~ |
| Diane Tomecko | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2008-12-09 ~ 2010-12-08 |
| Diane E Williams | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2017-12-16 ~ 2019-12-15 |
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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).