JASON STATUM (Credential# 1563298) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2014. The license expiration date date is January 13, 2016. The license status is INACTIVE.
JASON STATUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001430979. The credential type is medication administration certification. The effective date is January 14, 2014. The expiration date is January 13, 2016. The business address is 135 North Plains Ind Rd, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | JASON STATUM |
| Credential ID | 1563298 |
| Credential Number | DSMA.001430979 |
| Credential Type | Medication Administration Certification |
| Business Address |
135 North Plains Ind Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-01-14 |
| Effective Date | 2014-01-14 |
| Expiration Date | 2016-01-13 |
| 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 |
|---|---|---|---|
| Jason Guilbeault | 36 Mountain Ave, New London, CT 06320 | Medication Administration Certification | ~ |
| Jason Asumadu | 30 Nye Street, Vernon, CT 06066 | Medication Administration Certification | ~ |
| Jason Gamache | 82 Fox Run Drive, Harrisville, RI 02830 | Medication Administration Certification | ~ |
| Jason Roy | 75 Church St., Thompson, CT 06277 | Medication Administration Certification | 2014-10-18 ~ 2016-10-17 |
| Jason Naylor | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 1994-11-13 ~ 1996-11-12 |
| Jason Nunez | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2009-03-31 ~ 2011-03-30 |
| Jason Diaz | 205 Summit St, Willimantic, CT 06226 | Medication Administration Certification | ~ |
| Jason Malloy | P.o. Box 134, Chester, CT 06412 | Medication Administration Certification | 1996-03-26 ~ 1998-03-25 |
| Jason Asumadu | 84b Linwood Ave., Colchester, CT 06415 | Medication Administration Certification | 2018-02-18 ~ 2020-02-17 |
| Jason Davis | 84b Linwood Ave., Colchester, CT 06415 | Medication Administration Certification | 2014-08-01 ~ 2016-07-31 |
Please comment or provide details below to improve the information on JASON STATUM.
| 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).