DWANA CROCKETT (Credential# 1564974) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is April 7, 2019. The license expiration date date is April 6, 2021. The license status is ACTIVE.
DWANA CROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001726542. The credential type is medication administration certification. The effective date is April 7, 2019. The expiration date is April 6, 2021. The business address is 124 Pheasant Road, West Haven, CT 06516. The current status is active.
| Licensee Name | DWANA CROCKETT |
| Credential ID | 1564974 |
| Credential Number | DSMA.001726542 |
| Credential Type | Medication Administration Certification |
| Business Address |
124 Pheasant Road West Haven CT 06516 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-03-22 |
| Effective Date | 2019-04-07 |
| Expiration Date | 2021-04-06 |
| Refresh Date | 2019-04-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1534381 | DSMA.001526542 | Medication Administration Certification | 2013-03-26 | 2015-04-07 - 2017-04-06 | INACTIVE |
| Street Address | 124 Pheasant Road |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walker R Livingston | 124 Pheasant Road, West Haven, CT 06516 | Notary Public Appointment | 2018-12-01 ~ 2023-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dwana Etheredge | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2013-01-17 ~ 2015-01-16 |
| Timothy Crockett | CT | Medication Administration Certification | 2018-09-28 ~ 2020-09-28 |
| Ian Crockett | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2002-03-10 ~ 2004-03-09 |
| Gertlurella Crockett | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-01-07 ~ 2020-01-06 |
| Michele Crockett | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 2009-03-12 ~ 2011-03-11 |
| Timothy Crockett | 1363 Quinnipiac Ap K, New Haven, CT 06513 | Medication Administration Certification | 2019-05-02 ~ 2021-05-02 |
| David Crockett | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 1994-12-08 ~ 1996-12-07 |
| John Crockett | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 1992-04-28 ~ 1994-04-27 |
| Kevin Crockett | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 1999-09-10 ~ 2001-09-09 |
| Crockett Industries LLC | 116 Pumpkin Hill Rd, Ashford, CT 06278-1707 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on DWANA CROCKETT.
| 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).