ANDREA BLAKE (Credential# 1586402) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2013. The license expiration date date is March 11, 2015. The license status is REVOKED.
ANDREA BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001319492. The credential type is medication administration certification. The effective date is March 12, 2013. The expiration date is March 11, 2015. The business address is 1290 Silas Deane Hwy Suite 1a, Wethersfield, CT 06109. The current status is revoked.
| Licensee Name | ANDREA BLAKE |
| Credential ID | 1586402 |
| Credential Number | DSMA.001319492 |
| Credential Type | Medication Administration Certification |
| Business Address |
1290 Silas Deane Hwy Suite 1a Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | REVOKED |
| Issue Date | 2011-03-15 |
| Effective Date | 2013-03-12 |
| Expiration Date | 2015-03-11 |
| Refresh Date | 2018-10-11 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Blake | 78 Olive Street, New Haven, CT 06511 | Registered Nurse | 2004-10-14 ~ 2005-10-31 |
| 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 |
|---|---|---|---|
| Stephanie Blake | P.o. Box 185, So. Woodstock, CT 06267 | Medication Administration Certification | 2012-07-08 ~ 2014-07-07 |
| Michael Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2003-07-09 ~ 2005-07-08 |
| Nehemiah Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2008-06-22 ~ 2010-06-21 |
| Kani Blake | 90 Roslyn Street, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Ann Kristine Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2001-06-29 ~ 2003-06-28 |
| Shanel Dean | 216 Blake Street, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Raymond Blake | 160 W.washington St. Apt.a3, Bristol, CT 06010 | Medication Administration Certification | 2018-11-13 ~ 2020-11-12 |
| Jayston Tonnelle | 50 Blake Street, New Haven, CT 06511 | Medication Administration Certification | ~ |
| Cassandra Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2008-07-08 ~ 2010-07-07 |
| Nicole Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2012-03-31 ~ 2014-03-30 |
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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).