TERRELL GOFORTH (Credential# 1621702) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2019. The license expiration date date is March 7, 2021. The license status is ACTIVE.
TERRELL GOFORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981003158. The credential type is medication administration certification. The effective date is March 7, 2019. The expiration date is March 7, 2021. The business address is 51 Boston Post Rd., Madison, CT 06443. The current status is active.
| Licensee Name | TERRELL GOFORTH |
| Credential ID | 1621702 |
| Credential Number | DSMA.981003158 |
| Credential Type | Medication Administration Certification |
| Business Address |
51 Boston Post Rd. Madison CT 06443 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2019-03-07 |
| Effective Date | 2019-03-07 |
| Expiration Date | 2021-03-07 |
| Refresh Date | 2019-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1535523 | DSMA.001431616 | Medication Administration Certification | 2012-05-29 | 2014-05-29 - 2016-05-28 | INACTIVE |
| Street Address | 51 Boston Post Rd. |
| City | Madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | Madison |
| Zip Code | 06443 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frances Goforth | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2017-07-26 ~ 2019-07-25 |
| Debra Goforth | 95 Fountain Street, New Haven, CT 06515 | Medication Administration Certification | 2018-12-06 ~ 2020-12-06 |
| Iccarean Goforth | 51 Boston Post Rd Unit 1, Madison, CT 06443 | Medication Administration Certification | 2012-03-17 ~ 2014-03-16 |
| Terrell Antrum | 372 Austin Rd., Waterbury, CT 06705 | Medication Administration Certification | 2019-01-07 ~ 2021-01-07 |
| Terrell Nelson | 7 Midhill Dr, Hamden, CT 06514-4840 | Medication Administration Certification | 2019-05-12 ~ 2021-05-11 |
| Terrell Wagner | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2016-03-29 ~ 2018-03-28 |
| Terrell Daniels | 50 Bates St, Stratford, CT 06615 | Medication Administration Certification | 2018-08-31 ~ 2020-08-31 |
| Terrell Tait | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2011-06-16 ~ 2013-06-15 |
| Terrell Wilson | 950 Slater Road, New Britain, CT 06053 | Medication Administration Certification | 2000-03-10 ~ 2002-03-09 |
| Terrell Pitts | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2008-05-07 ~ 2010-05-06 |
Please comment or provide details below to improve the information on TERRELL GOFORTH.
| 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).