NICOLE WALTERS-BLAKE (Credential# 1988697) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2020. The license expiration date date is March 12, 2022. The license status is ACTIVE.
NICOLE WALTERS-BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981004966. The credential type is medication administration certification. The effective date is March 12, 2020. The expiration date is March 12, 2022. The business address is 116 Charter Road, Wethersfield, CT 06109. The current status is active.
| Licensee Name | NICOLE WALTERS-BLAKE |
| Credential ID | 1988697 |
| Credential Number | DSMA.981004966 |
| Credential Type | Medication Administration Certification |
| Business Address |
116 Charter Road Wethersfield CT 06109 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2020-03-12 |
| Effective Date | 2020-03-12 |
| Expiration Date | 2022-03-12 |
| Refresh Date | 2020-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1634490 | DSMA | Medication Administration Certification | - | PENDING | |
| 1597621 | DSMA.981002272 | Medication Administration Certification | - | PENDING |
| Street Address | 116 Charter Road |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanine Berasi | 116 Charter Road, Wethersfield, CT 06109 | Medication Administration Certification | 2018-11-17 ~ 2020-11-16 |
| 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 |
|---|---|---|---|
| Nicole Walters | 114 New State Rd, Manchester, CT 06042 | Medication Administration Certification | 2020-03-12 ~ 2022-03-11 |
| Nicole Blake | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2012-03-31 ~ 2014-03-30 |
| Tyler Walters | 146 Gilbert Ave, New Haven, CT 06511 | Medication Administration Certification | ~ |
| Nicole Ewaskie | 41 Nicole Dr., Naugatuck, CT 06770 | Medication Administration Certification | 2019-07-18 ~ 2021-07-17 |
| Reuben Walters | 330 Meadowbrook, West Haven, CT 06516 | Medication Administration Certification | ~ |
| Frankie Walters | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1995-12-17 ~ 1997-12-16 |
| John Walters | 28 Mckay St., Torrinfgton, CT 06790 | Medication Administration Certification | 2019-02-25 ~ 2021-02-24 |
| Michael Walters | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-03-07 ~ 2013-03-06 |
| Shanique Walters | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2013-01-15 ~ 2015-01-14 |
| Veronica Walters | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2006-06-06 ~ 2008-06-05 |
Please comment or provide details below to improve the information on NICOLE WALTERS-BLAKE.
| 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).