AUTUMN SMITH (Credential# 1564818) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 31, 2018. The license expiration date date is December 30, 2020. The license status is ACTIVE.
AUTUMN SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001628495. The credential type is medication administration certification. The effective date is December 31, 2018. The expiration date is December 30, 2020. The business address is 95 Oak Ridge Drive, New Haven, CT 06513. The current status is active.
| Licensee Name | AUTUMN SMITH |
| Credential ID | 1564818 |
| Credential Number | DSMA.001628495 |
| Credential Type | Medication Administration Certification |
| Business Address |
95 Oak Ridge Drive New Haven CT 06513 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2014-12-31 |
| Effective Date | 2018-12-31 |
| Expiration Date | 2020-12-30 |
| Refresh Date | 2019-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1573300 | DSMA.001428495 | Medication Administration Certification | 2012-06-24 | 2014-07-04 - 2016-07-03 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Autumn Smith | 1 Denslow Rd, East Longmeadow, MA 01028-3104 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Street Address | 95 Oak Ridge Drive |
| City | New Haven |
| State | CT |
| Zip Code | 06513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | New Haven |
| Zip Code | 06513 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Autumn Mcclendon | 72 Garden St., New Britain, CT 06052 | Medication Administration Certification | ~ |
| Autumn Newkirk | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2003-03-06 ~ 2005-03-05 |
| Lynn Curti | 304 Autumn St., Manchester, CT 06040 | Medication Administration Certification | 2019-11-08 ~ 2021-11-07 |
| Tracy Watt | 265 Autumn St., Manchester, CT 06042 | Medication Administration Certification | 2019-05-25 ~ 2021-05-24 |
| Mitcheal Oparaocha | 181 Autumn Street, Manchester, CT 06040 | Medication Administration Certification | 2019-03-09 ~ 2021-03-08 |
| Autumn Baker | 35 Westchester Drive, Bristol, CT 06010 | Medication Administration Certification | 2019-05-25 ~ 2021-05-24 |
| Angela Deluca | 131 Autumn Drive, Southington, CT 06489 | Medication Administration Certification | 2018-12-04 ~ 2020-12-03 |
| Autumn Knox | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 1999-12-28 ~ 2001-12-27 |
| Josue Fleurimond | 66 Autumn Ridge Road, Naugatuck, CT 06770 | Medication Administration Certification | 2018-10-18 ~ 2020-10-17 |
| Autumn Carson | 2666 State Street, Hamden, CT 06517 | Medication Administration Certification | 2016-08-10 ~ 2018-08-09 |
Please comment or provide details below to improve the information on AUTUMN SMITH.
| 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).