DOMINIQUE PETTWAY (Credential# 1567064) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2014. The license expiration date date is December 1, 2016. The license status is INACTIVE.
DOMINIQUE PETTWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001432531. The credential type is medication administration certification. The effective date is December 2, 2014. The expiration date is December 1, 2016. The business address is 35 Elm St., Naugatuck, CT 06770. The current status is inactive.
| Licensee Name | DOMINIQUE PETTWAY |
| Credential ID | 1567064 |
| Credential Number | DSMA.001432531 |
| Credential Type | Medication Administration Certification |
| Business Address |
35 Elm St. Naugatuck CT 06770 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-12-02 |
| Effective Date | 2014-12-02 |
| Expiration Date | 2016-12-01 |
| Refresh Date | 2018-08-01 |
| Street Address | 35 Elm St. |
| City | Naugatuck |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Mcculloch | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2019-12-06 ~ 2021-12-05 |
| Garnette James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-10-17 ~ 2020-10-17 |
| Nicole Miele | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Jaevon Daniels | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-09-07 ~ 2020-09-07 |
| Jasmyne Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Michelle Muniz | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-30 ~ 2020-08-30 |
| Tyana Mason | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-16 ~ 2020-08-16 |
| Tinika James | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Paul Clark | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Daniel Panasci | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-20 ~ 2020-07-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06770 | |||
| City | Naugatuck |
| Zip Code | 06770 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Naugatuck |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Moses Pettway | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-12-19 ~ 2019-12-18 |
| Michael1 Pettway | 21c Sky Hollow Court, Oakville, CT 06779 | Medication Administration Certification | ~ |
| Joyce Pettway | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2000-10-07 ~ 2002-10-06 |
| Brenda Pettway | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2018-06-06 ~ 2020-06-05 |
| Shanna Pettway | 190 Southmayd Rd, Waterbury, CT 06705 | Medication Administration Certification | 2019-11-07 ~ 2021-11-06 |
| Michael Pettway | 31 Sky Hollow Court, Oakville, CT 06779 | Medication Administration Certification | ~ |
| Guretha Pettway | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2008-02-09 ~ 2010-02-08 |
| Tonnie Pettway | Po Box 1793, Bridgeport, CT 06601 | Medication Administration Certification | 2019-04-25 ~ 2021-04-24 |
| Ashley Pettway | 190 Southmayd Rd, Waterbury, CT 06703 | Medication Administration Certification | 2019-06-12 ~ 2021-06-11 |
| Lidell Pettway | 230 Goddard Ave, Bridgeport, CT 06610 | Medication Administration Certification | 2019-06-08 ~ 2021-06-07 |
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| 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).