CRYSTAL WISE (Credential# 1558975) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 26, 2020. The license expiration date date is January 25, 2022. The license status is ACTIVE.
CRYSTAL WISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001818197. The credential type is medication administration certification. The effective date is January 26, 2020. The expiration date is January 25, 2022. The business address is 236 Pearl Street, Middletown, CT 06457. The current status is active.
| Licensee Name | CRYSTAL WISE |
| Credential ID | 1558975 |
| Credential Number | DSMA.001818197 |
| Credential Type | Medication Administration Certification |
| Business Address |
236 Pearl Street Middletown CT 06457 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-01-26 |
| Effective Date | 2020-01-26 |
| Expiration Date | 2022-01-25 |
| Refresh Date | 2020-04-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1545538 | DSMA.000718197 | Medication Administration Certification | 2005-09-07 | 2007-08-09 - 2009-08-08 | INACTIVE |
| Street Address | 236 Pearl Street |
| 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 |
|---|---|---|---|
| Nathan Wise | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2016-08-27 ~ 2018-08-26 |
| James Wise | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2005-12-01 ~ 2007-11-30 |
| David Wise | 71 Meadowlark Drive, Waterbury, CT 06708 | Medication Administration Certification | 2019-02-05 ~ 2021-02-05 |
| Rachael Wise | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2010-01-12 ~ 2012-01-11 |
| Marianne Wise | 1040 Whalley Ave., New Haven, CT 06515 | Medication Administration Certification | 2003-02-21 ~ 2005-02-20 |
| Crystal Burgess | CT | Medication Administration Certification | ~ |
| Crystal Seurattan | 818, Waterbury, CT 06706 | Medication Administration Certification | ~ |
| Crystal White | P.o. Box 271, Old Mystic, CT 06372 | Medication Administration Certification | 2015-06-02 ~ 2017-06-01 |
| Crystal Foo | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2010-01-08 ~ 2012-01-07 |
| Crystal Santoro | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2007-07-03 ~ 2009-07-02 |
Please comment or provide details below to improve the information on CRYSTAL WISE.
| 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).