SALLY PARK (Credential# 1302173) is licensed (Pharmacist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2022. The license status is ACTIVE.
SALLY PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0013517. The credential type is pharmacist. The effective date is February 1, 2020. The expiration date is January 31, 2022. The business address is 3164 Broadbridge Ave, Stratford, CT 06614. The current status is active.
| Licensee Name | SALLY PARK |
| Credential ID | 1302173 |
| Credential Number | PCT.0013517 |
| Credential Type | PHARMACIST |
| Business Address |
3164 Broadbridge Ave Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-15 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2022-01-31 |
| Refresh Date | 2019-12-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1290149 | PCI.0007972 | PHARMACY INTERN | 2015-06-10 | 2015-06-10 - 2015-09-30 | INACTIVE |
| Street Address | 3164 broadbridge ave |
| City | stratford |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | stratford |
| Zip Code | 06614 |
| License Type | PHARMACIST |
| License Type + County | PHARMACIST + stratford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally K Laden | 772 Mountain Rd, Cheshire, CT 06410 | Pharmacist | 1996-02-01 ~ 1997-01-31 |
| Sally M Bishay | 73 Harbor Dr Apt 406, Stamford, CT 06902-7483 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sally C Goehrke | 39 Woodcrest Dr, Armonk, NY 10504 | Pharmacist | 1800-12-27 ~ 1995-03-31 |
| Sally Ellen Brown | Po Box 678, Augusta, ME 04332-0678 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Steven W Burke | 69 Sally Dr, South Windsor, CT 06074 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sally A Hartman | 18 Seneca Drive, East Granby, CT 06026 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sally Doan | 9346 Kings Grant Rd, Laurel, MD 20723 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sally M Huguenin | 1604 Kinnan Terrace, Deland, FL 32720 | Pharmacist | 2009-02-01 ~ 2010-01-31 |
| Jasmine Abhulimen | 3476 Sally Kirk Rd, Winston Salem, NC 27106-4724 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Sally Schwerdtle | 447 North Park Ave, Easton, CT 06612 | Registered Nurse | 2009-09-01 ~ 2010-08-31 |
Please comment or provide details below to improve the information on SALLY PARK.
| 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).