MAVIS BLACKWOOD (Credential# 1577511) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2013. The license expiration date date is December 11, 2015. The license status is INACTIVE.
MAVIS BLACKWOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001305855. The credential type is medication administration certification. The effective date is December 12, 2013. The expiration date is December 11, 2015. The business address is 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109. The current status is inactive.
| Licensee Name | MAVIS BLACKWOOD |
| Credential ID | 1577511 |
| Credential Number | DSMA.001305855 |
| Credential Type | Medication Administration Certification |
| Business Address |
1290 Silas Deane Hwy Suite 1a Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-12-12 |
| Effective Date | 2013-12-12 |
| Expiration Date | 2015-12-11 |
| Refresh Date | 2018-08-01 |
| Street Address | 1290 Silas Deane Hwy Suite 1A |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nneka Reliford | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2019-04-17 ~ 2021-04-17 |
| Gerritsen Amoah | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-12-09 ~ 2020-12-08 |
| Marilyn Williams | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-09-14 ~ 2020-09-13 |
| Traycee Porter | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-09-08 ~ 2020-09-08 |
| Antonisha Fowlin | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-09-09 ~ 2020-09-08 |
| Clay Johnson | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-08-30 ~ 2020-08-30 |
| Janita Negron | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-08-29 ~ 2020-08-29 |
| Amir Brown | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-08-22 ~ 2020-08-21 |
| Nakeisha Medina | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-08-12 ~ 2020-08-11 |
| Tanesha Wiles | 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109 | Medication Administration Certification | 2018-08-09 ~ 2020-08-08 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mavis Bennett | 55 Elm Street, Tariffville, CT 06081 | Medication Administration Certification | 2019-06-27 ~ 2021-06-26 |
| Mavis Jendrewski | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2015-02-13 ~ 2017-02-12 |
| Mavis Brown | 808 Four Rod Road P.o. Box 7333, Kensington, CT 06037 | Medication Administration Certification | 2014-05-31 ~ 2016-05-30 |
| Mavis Quaynor | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2008-12-25 ~ 2010-12-24 |
| Mavis Paul | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2008-05-29 ~ 2010-05-28 |
| Mavis Harasyn | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2018-03-16 ~ 2020-03-15 |
| Mavis Rosemond | 808 Four Rod Road P.o. Box 7333, Kensington, CT 06037 | Medication Administration Certification | 2008-05-17 ~ 2010-05-16 |
| Lucy Blackwood | Po Box 7113, Bloomfield, CT 06002 | Medication Administration Certification | 2019-05-31 ~ 2021-05-30 |
| Asia Blackwood | 111 Reed Road, Tolland, CT 06084 | Medication Administration Certification | ~ |
| Diane Blackwood | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2008-10-17 ~ 2010-10-16 |
Please comment or provide details below to improve the information on MAVIS BLACKWOOD.
| 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).