REBECCA L STATHAM
Pharmacy Intern


Address: 35 Beebe Rd, Wilbraham, MA 01095-2321

REBECCA L STATHAM (Credential# 1035944) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2011. The license expiration date date is September 30, 2015. The license status is INACTIVE.

Business Overview

REBECCA L STATHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0006814. The credential type is pharmacy intern. The effective date is October 11, 2011. The expiration date is September 30, 2015. The business address is 35 Beebe Rd, Wilbraham, MA 01095-2321. The current status is inactive.

Basic Information

Licensee Name REBECCA L STATHAM
Credential ID 1035944
Credential Number PCI.0006814
Credential Type PHARMACY INTERN
Business Address 35 Beebe Rd
Wilbraham
MA 01095-2321
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-10-11
Effective Date 2011-10-11
Expiration Date 2015-09-30
Refresh Date 2016-08-30

Office Location

Street Address 35 BEEBE RD
City WILBRAHAM
State MA
Zip Code 01095-2321

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Competitor

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City WILBRAHAM
Zip Code 01095
License Type PHARMACY INTERN
License Type + County PHARMACY INTERN + WILBRAHAM

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Dataset Information

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).

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