KELLY EZOLD (Credential# 1558273) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2019. The license expiration date date is May 23, 2021. The license status is ACTIVE.
KELLY EZOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001724820. The credential type is medication administration certification. The effective date is May 24, 2019. The expiration date is May 23, 2021. The business address is 280 Buckley Road, Salem, CT 06420. The current status is active.
| Licensee Name | KELLY EZOLD |
| Credential ID | 1558273 |
| Credential Number | DSMA.001724820 |
| Credential Type | Medication Administration Certification |
| Business Address |
280 Buckley Road Salem CT 06420 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-05-09 |
| Effective Date | 2019-05-24 |
| Expiration Date | 2021-05-23 |
| Refresh Date | 2019-05-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1583076 | DSMA.001524820 | Medication Administration Certification | 2013-05-13 | 2015-05-24 - 2017-05-23 | INACTIVE |
| Street Address | 280 Buckley Road |
| City | Salem |
| State | CT |
| Zip Code | 06420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | Salem |
| Zip Code | 06420 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Kelly | 61 Ravens Croft Road, Vernon, CT 06066 | Medication Administration Certification | 2019-09-30 ~ 2021-09-29 |
| Kelly Guy | 22 Clark St, Hartford, CT 06120 | Medication Administration Certification | ~ |
| Kelly O'connor | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2009-12-11 ~ 2011-12-10 |
| Kelly Rowella | 126 A Tower Rd., Brookfield, CT 06804 | Medication Administration Certification | ~ |
| Najarea Kelly | 115 Elliott Ave, Waterbury, CT 06705 | Medication Administration Certification | ~ |
| Seth Kelly | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2015-08-29 ~ 2017-08-28 |
| Kelly Plante | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2001-04-15 ~ 2003-04-14 |
| Larissa Kelly | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2006-05-11 ~ 2008-05-10 |
| Kelly Sullivan | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2017-12-20 ~ 2019-12-19 |
| Kelly Frederick | 390 Holcomb St, Hartford, CT 06112 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on KELLY EZOLD.
| 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).