KEITH WOMACK (Credential# 1575240) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2013. The license expiration date date is August 29, 2015. The license status is INACTIVE.
KEITH WOMACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001327211. The credential type is medication administration certification. The effective date is August 30, 2013. The expiration date is August 29, 2015. The business address is 750 Old Main Street, Su. 100, Rocky Hill, CT 06067. The current status is inactive.
| Licensee Name | KEITH WOMACK |
| Credential ID | 1575240 |
| Credential Number | DSMA.001327211 |
| Credential Type | Medication Administration Certification |
| Business Address |
750 Old Main Street, Su. 100 Rocky Hill CT 06067 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-08-21 |
| Effective Date | 2013-08-30 |
| Expiration Date | 2015-08-29 |
| Refresh Date | 2018-08-01 |
| Street Address | 750 Old Main Street, Su. 100 |
| City | Rocky Hill |
| State | CT |
| Zip Code | 06067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose Perez | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2018-06-22 ~ 2020-06-21 |
| Shanaya Fredericks | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-12-16 ~ 2019-12-15 |
| Shatoya Dudley | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-12-06 ~ 2019-12-05 |
| Maria Velazquez | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-11-24 ~ 2019-11-23 |
| Roberto Aberasturia | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-09-09 ~ 2019-09-08 |
| Denise Lugo | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-08-30 ~ 2019-08-29 |
| Veronica Vargas | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-08-29 ~ 2019-08-28 |
| Barbara Johnson | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-08-22 ~ 2019-08-21 |
| Lucia Nunez | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-06-27 ~ 2019-06-26 |
| Elsie Gonzalez | 750 Old Main Street, Su. 100, Rocky Hill, CT 06067 | Medication Administration Certification | 2017-01-20 ~ 2019-01-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
| Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
| Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
| Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
| Find all Licenses in zip 06067 | |||
| City | Rocky Hill |
| Zip Code | 06067 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Rocky Hill |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bobby Womack | 933 Rubber Ave, Naugutuck, CT 06770 | Medication Administration Certification | ~ |
| Lusharra Womack | 63 Wooddale Drive, Unionville, CT 06085 | Medication Administration Certification | ~ |
| Taffy Womack | 133 Cromwell St, Hartford, CT 06114 | Medication Administration Certification | 2019-10-01 ~ 2021-09-30 |
| Jazmine Womack | 127 Campfield Ave, Hartford, CT 06114 | Medication Administration Certification | 2019-10-03 ~ 2021-10-03 |
| Alicia Womack | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2017-06-11 ~ 2019-06-10 |
| Andrea Womack | 66 Whiting St. Apt 1-d, Plainville, CT 06042 | Medication Administration Certification | 2019-06-14 ~ 2021-06-13 |
| Michele Womack | 905 Worthy Street, Windsor, CT 06095 | Medication Administration Certification | 2017-12-21 ~ 2019-12-20 |
| Alexandria Womack | 860 Prospect Hill Rd, Windsor, CT 06095 | Medication Administration Certification | 2017-03-19 ~ 2019-03-18 |
| Takisha Womack | 693 Bloomfield Ave. Su. 202, Bloomfield, CT 06002 | Medication Administration Certification | 2017-07-08 ~ 2019-07-07 |
| Keith Springfield | 27 Eld St Apt A, New Haven, CT 06511 | Medication Administration Certification | ~ |
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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).