MICHELLE DEFAZIO (Credential# 1242472) is licensed (Pharmacy Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MICHELLE DEFAZIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTN.0016826. The credential type is pharmacy technician. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 120 Indian Hill Rd, Collinsville, CT 06019-3623. The current status is active.
| Licensee Name | MICHELLE DEFAZIO |
| Credential ID | 1242472 |
| Credential Number | PTN.0016826 |
| Credential Type | PHARMACY TECHNICIAN |
| Business Address |
120 Indian Hill Rd Collinsville CT 06019-3623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1259206 | MMDT.0000013 | MEDICAL MARIJUANA DISPENSARY TECHNICIAN | 2015-01-06 | 2020-01-07 - 2021-01-06 | ACTIVE |
| 1995823 | MMDT.0000213 | MEDICAL MARIJUANA DISPENSARY TECHNICIAN | 2020-01-03 | 2020-01-03 - 2021-01-03 | ACTIVE |
| 1995822 | MMDT.0000212 | MEDICAL MARIJUANA DISPENSARY TECHNICIAN | 2020-01-03 | 2020-01-03 - 2021-01-03 | ACTIVE |
| 1242854 | MMDE.0000022 | MEDICAL MARIJUANA DISPENSARY FACILITY EMPLOYEE | 2014-09-03 | 2015-09-04 - 2016-09-03 | INACTIVE |
| Street Address | 120 INDIAN HILL RD |
| City | COLLINSVILLE |
| State | CT |
| Zip Code | 06019-3623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelo Defazio | 120 Indian Hill Rd, Collinsville, CT 06019-3623 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica A Maher | 156 Indian Hill Rd, Collinsville, CT 06019-3623 | Massage Therapist | 2012-07-20 ~ 2014-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | COLLINSVILLE |
| Zip Code | 06019 |
| License Type | PHARMACY TECHNICIAN |
| License Type + County | PHARMACY TECHNICIAN + COLLINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle E Odekerken | 105 Elm St, Old Saybrook, CT 06475-4132 | Pharmacy Technician | 2014-01-02 ~ 2015-03-31 |
| Michelle Collazo | Hartford, CT 06106 | Pharmacy Technician | 2006-06-15 ~ 2007-03-31 |
| Michelle Lowe | Coventry, CT 06238 | Pharmacy Technician | 2003-09-08 ~ 2004-03-31 |
| Michelle Mollenshott | New Canaan, CT 06840 | Pharmacy Technician | 2004-04-01 ~ 2005-03-31 |
| Michelle A Birch | New Haven, CT 06511 | Pharmacy Technician | 2016-10-04 ~ 2017-03-31 |
| Michelle Lantieri | Po Box 897, Watertown, CT 06795 | Pharmacy Technician | 2005-04-01 ~ 2006-03-31 |
| Michelle Vasta | 31 Marble Ave Fl 1, Pleasantville, NY 10570-2906 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Michelle A Blake | 122 Rockwell Ave, Bloomfield, CT 06002-3218 | Pharmacy Technician | 2017-06-28 ~ 2018-03-31 |
| Michelle T Grondin | 16 Scuppo Rd, Danbury, CT 06811-5253 | Pharmacy Technician | 2016-04-01 ~ 2017-03-31 |
| Michelle L Bernard | 192 S Main St, Marlborough, CT 06447-1505 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MICHELLE DEFAZIO.
| 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).