LARIQUE E WALLACE
Pharmacy Intern


Address: 58 Liberty St Apt #11, Stamford, CT 06902

LARIQUE E WALLACE (Credential# 1310394) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2015. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

LARIQUE E WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0008146. The credential type is pharmacy intern. The effective date is September 21, 2015. The expiration date is September 30, 2020. The business address is 58 Liberty St Apt #11, Stamford, CT 06902. The current status is active.

Basic Information

Licensee Name LARIQUE E WALLACE
Credential ID 1310394
Credential Number PCI.0008146
Credential Type PHARMACY INTERN
Business Address 58 Liberty St Apt #11
Stamford
CT 06902
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-09-21
Effective Date 2015-09-21
Expiration Date 2020-09-30
Refresh Date 2020-03-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1204429 PTN.0016012 PHARMACY TECHNICIAN 2014-01-29 2014-01-29 - 2015-03-31 INACTIVE
2054462 PCT.0015392 PHARMACIST - PENDING

Office Location

Street Address 58 LIBERTY ST APT #11
City STAMFORD
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type PHARMACY INTERN
License Type + County PHARMACY INTERN + STAMFORD

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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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