TIMOTHY FOUNTAIN (Credential# 1560762) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is February 17, 2019. The license expiration date date is February 16, 2021. The license status is ACTIVE.
TIMOTHY FOUNTAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.171001738. The credential type is medication administration certification. The effective date is February 17, 2019. The expiration date is February 16, 2021. The business address is 54 Towne House Road, Hamden, CT 06514. The current status is active.
| Licensee Name | TIMOTHY FOUNTAIN |
| Credential ID | 1560762 |
| Credential Number | DSMA.171001738 |
| Credential Type | Medication Administration Certification |
| Business Address |
54 Towne House Road Hamden CT 06514 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-02-17 |
| Effective Date | 2019-02-17 |
| Expiration Date | 2021-02-16 |
| Refresh Date | 2019-03-11 |
| Street Address | 54 Towne House Road |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy D. Fountain | 54 Towne House Road, Hamden, CT 06514 | Massage Therapist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joy'l Fountain | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2009-03-22 ~ 2011-03-21 |
| Francesann Ayuyu | 41 Fountain St, Norwich, CT 06360 | Medication Administration Certification | ~ |
| Bianca Miller | 154 Fountain St, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Christopher Fountain | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2010-09-22 ~ 2012-09-21 |
| Amarah Hernandez | 38 Fountain St, Norwich, CT 06360 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Raheem Ahmed | 58 Fountain St., New Haven, CT 06515 | Medication Administration Certification | 2020-03-24 ~ 2022-03-23 |
| Betty Bertrand | 399 Fountain St 1fl, New Haven, CT 06515 | Medication Administration Certification | 2019-03-22 ~ 2021-03-22 |
| Jazmine Roy | 200 Fountain Road, New Haven, CT 06515 | Medication Administration Certification | 2020-01-09 ~ 2022-01-08 |
| Quatema Fountain | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2017-05-28 ~ 2019-05-27 |
| Imani Caballero | 180 Fountain St, New Haven, CT 06515 | Medication Administration Certification | 2019-01-16 ~ 2021-01-16 |
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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).