BILLY BROCK (Credential# 1564354) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is October 12, 2019. The license expiration date date is October 11, 2021. The license status is ACTIVE.
BILLY BROCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001721316. The credential type is medication administration certification. The effective date is October 12, 2019. The expiration date is October 11, 2021. The business address is 53 Allentown Rd, Bristol, CT 06010. The current status is active.
| Licensee Name | BILLY BROCK |
| Credential ID | 1564354 |
| Credential Number | DSMA.001721316 |
| Credential Type | Medication Administration Certification |
| Business Address |
53 Allentown Rd Bristol CT 06010 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-08-23 |
| Effective Date | 2019-10-12 |
| Expiration Date | 2021-10-11 |
| Refresh Date | 2019-10-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1585131 | DSMA.001521316 | Medication Administration Certification | 2013-10-14 | 2015-10-12 - 2017-10-11 | INACTIVE |
| Street Address | 53 Allentown Rd |
| City | Bristol |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ramona N Rivera | 53 Allentown Rd, Bristol, CT 06010 | Professional Counselor Associate | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | Bristol |
| Zip Code | 06010 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Bristol |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kerry Brock | 3 Pearson Way, Enfield, CT 06082 | Medication Administration Certification | 2009-10-22 ~ 2011-10-21 |
| Shanika Brock | 52 Howe Street, New Haven, CT 06511 | Medication Administration Certification | ~ |
| Billy Penn | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2008-03-13 ~ 2010-03-12 |
| Latan Brock | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 1990-09-04 ~ 1992-09-03 |
| Shanessa Brock | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2014-04-18 ~ 2016-04-17 |
| William Smyser | 134 Brown Brock Rd, Southbury, CT 06488 | Medication Administration Certification | 2019-10-22 ~ 2021-10-21 |
| Billy Stanley | 23 Route 6, Andover, CT 06232-1023 | Medication Administration Certification | 2010-11-13 ~ 2012-11-12 |
| Contessa Brock | 29 North Plains Hwy Unit 15, Wallingford, CT 06492 | Medication Administration Certification | 2007-06-05 ~ 2009-06-04 |
| Shaniqua Brock | 1880 Broad Street, Hartford, CT 06114 | Medication Administration Certification | 2019-10-18 ~ 2021-10-18 |
| Billy Stanley | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration for Individual/family | 2014-03-26 ~ 2019-03-26 |
Please comment or provide details below to improve the information on BILLY BROCK.
| 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).