MARTHA FAIRBANKS (Credential# 1585736) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2008. The license expiration date date is March 1, 2010. The license status is INACTIVE.
MARTHA FAIRBANKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.000822019. The credential type is medication administration certification. The effective date is March 2, 2008. The expiration date is March 1, 2010. The business address is 109 Legion Avenue, New Haven, CT 06519. The current status is inactive.
| Licensee Name | MARTHA FAIRBANKS |
| Credential ID | 1585736 |
| Credential Number | DSMA.000822019 |
| Credential Type | Medication Administration Certification |
| Business Address |
109 Legion Avenue New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-01 |
| Effective Date | 2008-03-02 |
| Expiration Date | 2010-03-01 |
| Refresh Date | 2018-08-01 |
| Street Address | 109 Legion Avenue |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Donahue | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-22 ~ 2020-09-21 |
| Terrence Jackson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-10 ~ 2020-09-09 |
| Victor Austin | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-09-08 ~ 2020-09-08 |
| Keith Johnson | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-22 ~ 2020-08-21 |
| Michelle Young | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-16 ~ 2020-08-15 |
| David Brown | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-08-10 ~ 2020-08-09 |
| Shawn Wood | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Eric James | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-16 ~ 2020-07-15 |
| Nicole Gandossy | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-07-15 ~ 2020-07-14 |
| Diana Strong | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2018-06-28 ~ 2020-06-27 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harriet Fairbanks | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 2001-12-23 ~ 2003-12-22 |
| Martha Melvin | 141 Union Ave., Bridgeport, CT 06607 | Medication Administration Certification | ~ |
| Martha Trevino | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2015-08-02 ~ 2017-08-01 |
| Martha Lavoie | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1995-05-03 ~ 1997-05-02 |
| Martha Desaulniers | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2009-03-24 ~ 2011-03-23 |
| Martha Schimmelpfennig | 80 Whitney St., Hartford, CT 06105 | Medication Administration Certification | 2000-12-14 ~ 2002-12-13 |
| Martha Martin | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2003-01-18 ~ 2005-01-17 |
| Martha Basnight | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1999-05-19 ~ 2001-05-18 |
| Martha Brown | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2003-01-15 ~ 2005-01-14 |
| Martha Fludd | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2015-02-11 ~ 2017-02-10 |
Please comment or provide details below to improve the information on MARTHA FAIRBANKS.
| 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).