TIMOTHY CROCKETT (Credential# 1596501) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is May 2, 2019. The license expiration date date is May 2, 2021. The license status is ACTIVE.
TIMOTHY CROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981003360. The credential type is medication administration certification. The effective date is May 2, 2019. The expiration date is May 2, 2021. The business address is 1363 Quinnipiac Ap K, New Haven, CT 06513. The current status is active.
| Licensee Name | TIMOTHY CROCKETT |
| Credential ID | 1596501 |
| Credential Number | DSMA.981003360 |
| Credential Type | Medication Administration Certification |
| Business Address |
1363 Quinnipiac Ap K New Haven CT 06513 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2019-05-02 |
| Effective Date | 2019-05-02 |
| Expiration Date | 2021-05-02 |
| Refresh Date | 2019-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1586931 | DSMA.161000467 | Medication Administration Certification | 2014-06-30 | 2016-06-30 - 2018-06-29 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Crockett | CT | Medication Administration Certification | 2018-09-28 ~ 2020-09-28 |
| Street Address | 1363 Quinnipiac AP K |
| City | New Haven |
| State | CT |
| Zip Code | 06513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | New Haven |
| Zip Code | 06513 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gertlurella Crockett | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2018-01-07 ~ 2020-01-06 |
| Ian Crockett | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2002-03-10 ~ 2004-03-09 |
| Michele Crockett | P.o. Box 7331, Prospect, CT 06712 | Medication Administration Certification | 2009-03-12 ~ 2011-03-11 |
| Kevin Crockett | 320 Old Hill Road, Hamden, CT 06514 | Medication Administration Certification | 1999-09-10 ~ 2001-09-09 |
| John Crockett | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 1992-04-28 ~ 1994-04-27 |
| David Crockett | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 1994-12-08 ~ 1996-12-07 |
| Dwana Crockett | 124 Pheasant Road, West Haven, CT 06516 | Medication Administration Certification | 2019-04-07 ~ 2021-04-06 |
| Timothy Lay | 182 Wolfpit, Norwalk, CT 06851 | Medication Administration Certification | 2014-03-28 ~ 2016-03-27 |
| Timothy Johnson | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2012-10-20 ~ 2014-10-19 |
| Timothy Morris | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2015-12-02 ~ 2017-12-01 |
Please comment or provide details below to improve the information on TIMOTHY CROCKETT.
| 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).