BRENDA BROCKENBERRY (Credential# 1560299) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2011. The license expiration date date is August 4, 2013. The license status is INACTIVE.
BRENDA BROCKENBERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001124335. The credential type is medication administration certification. The effective date is August 5, 2011. The expiration date is August 4, 2013. The business address is 135 North Plains Ind Rd, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | BRENDA BROCKENBERRY |
| Credential ID | 1560299 |
| Credential Number | DSMA.001124335 |
| Credential Type | Medication Administration Certification |
| Business Address |
135 North Plains Ind Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-08-05 |
| Effective Date | 2011-08-05 |
| Expiration Date | 2013-08-04 |
| Refresh Date | 2018-08-01 |
| Street Address | 135 North Plains Ind Rd |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothy Freelove | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
| Tai-riesha Collins | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Derrick Green | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-01 ~ 2020-06-30 |
| Reshaya Dreckett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Brittany Bennett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Real Estate Salesperson | 2019-03-07 ~ 2020-05-31 |
| Theresa Jacobs | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-17 ~ 2020-05-16 |
| Geraldine Allen | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-13 ~ 2020-05-12 |
| Pauline Frazier | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-03 ~ 2020-05-02 |
| Marie-louise Rustic | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-30 ~ 2020-04-29 |
| Shawn Rembert | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-20 ~ 2020-04-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Candice Brockenberry | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2009-11-29 ~ 2011-11-28 |
| April Brockenberry | 121 Carmel Street, New Haven, CT 06511 | Medication Administration Certification | 2019-11-08 ~ 2021-11-08 |
| Donna Brockenberry | 246 Post Road East, Westport, CT 06880-3615 | Medication Administration Certification | 1998-11-17 ~ 2000-11-16 |
| Brenda Palmer | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2008-08-30 ~ 2010-08-29 |
| Brenda Melendez | 31 Lundry St, Bristol, CT 06010 | Medication Administration Certification | ~ |
| Brenda Hoy | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2018-07-30 ~ 2020-07-29 |
| Brenda Roman | P. O. Box 766, Cheshire, CT 06410 | Medication Administration Certification | 2015-04-01 ~ 2017-03-31 |
| Brenda Pontbriand | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2015-03-23 ~ 2017-03-22 |
| Brenda Petterson | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 1996-09-26 ~ 1998-09-25 |
| Brenda Goodall | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-04-18 ~ 2013-04-17 |
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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).