CLARK PETERS (Credential# 1564534) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2019. The license expiration date date is September 25, 2021. The license status is ACTIVE.
CLARK PETERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001704455. The credential type is medication administration certification. The effective date is September 26, 2019. The expiration date is September 25, 2021. The business address is 19 D Street, Groton, CT 06340. The current status is active.
| Licensee Name | CLARK PETERS |
| Credential ID | 1564534 |
| Credential Number | DSMA.001704455 |
| Credential Type | Medication Administration Certification |
| Business Address |
19 D Street Groton CT 06340 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-08-26 |
| Effective Date | 2019-09-26 |
| Expiration Date | 2021-09-25 |
| Refresh Date | 2019-10-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1572589 | DSMA.001504455 | Medication Administration Certification | 2013-08-27 | 2015-09-26 - 2017-09-25 | INACTIVE |
| Street Address | 19 D Street |
| City | Groton |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | Groton |
| Zip Code | 06340 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Groton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Crista Peters | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2016-02-26 ~ 2018-02-25 |
| Amy Peters | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 1996-04-11 ~ 1998-04-10 |
| Beverly Peters | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1999-07-17 ~ 2001-07-16 |
| There Peters | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 1992-02-22 ~ 1994-02-21 |
| Sarah Peters | 83 Beard Dr., New Milford, CT 06776 | Medication Administration Certification | 2019-10-03 ~ 2021-10-03 |
| Jolie Peters | 99 Winsted Rd., Torrington, CT 06790 | Medication Administration Certification | 2018-05-16 ~ 2020-05-15 |
| Matthew Peters | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2009-08-15 ~ 2011-08-14 |
| Willi Peters | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1991-08-01 ~ 1993-07-31 |
| Robert Peters | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2003-01-25 ~ 2005-01-24 |
| Kayla Pellrine | 152 Peters Circle, Southington, CT 06489 | Medication Administration Certification | 2019-04-03 ~ 2021-04-03 |
Please comment or provide details below to improve the information on CLARK PETERS.
| 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).