JUSTIN M DIZEK (Credential# 1313208) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2015. The license expiration date date is September 30, 2019. The license status is LAPSED.
JUSTIN M DIZEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0008203. The credential type is pharmacy intern. The effective date is September 28, 2015. The expiration date is September 30, 2019. The business address is 43 Hillside Ave, South Hadley, MA 01075-2916. The current status is lapsed.
| Licensee Name | JUSTIN M DIZEK |
| Credential ID | 1313208 |
| Credential Number | PCI.0008203 |
| Credential Type | PHARMACY INTERN |
| Business Address |
43 Hillside Ave South Hadley MA 01075-2916 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-09-28 |
| Effective Date | 2015-09-28 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2019-10-05 |
| Street Address | 43 HILLSIDE AVE |
| City | SOUTH HADLEY |
| State | MA |
| Zip Code | 01075-2916 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Chmielewski | 37 Hillside Ave, South Hadley, MA 01075-2916 | Tv & Radio Limited Dish Antenna Technician | 2013-09-04 ~ 2014-08-31 |
| Theodore J Susen | 17 Hillside Ave, South Hadley, MA 01075-2916 | Tv & Radio Limited Dish Antenna Technician | 2012-09-01 ~ 2013-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
| Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
| Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
| Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
| Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01075 | |||
| City | SOUTH HADLEY |
| Zip Code | 01075 |
| License Type | PHARMACY INTERN |
| License Type + County | PHARMACY INTERN + SOUTH HADLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin R Worth | 10 Clearview Dr, Bow, NH 03304-3612 | Pharmacy Intern | 2012-10-16 ~ 2017-09-30 |
| Justin B Oliveri | 26 Brewster St, Springfield, MA 01119-2554 | Pharmacy Intern | 2019-09-26 ~ 2023-09-30 |
| Justin E Lachance | 28 Junes Way, Springfield, MA 01108-3374 | Pharmacy Intern | 2017-10-24 ~ 2021-09-30 |
| Justin E Pratte | 18 Theodore St, Newington, CT 06111-3743 | Pharmacy Intern | 2017-10-02 ~ 2021-09-30 |
| Justin M Adamczyk | 95 Dejordy Ln, Chicopee, MA 01020-2867 | Pharmacy Intern | 2017-09-06 ~ 2021-09-30 |
| Justin M Liss | 50 Woodland St, South Glastonbury, CT 06073 | Pharmacy Intern | 2019-09-20 ~ 2023-09-30 |
| Justin Sangani | 9 Wildflower Drive, Oxford, CT 06478 | Pharmacy Intern | 1997-05-29 ~ 2001-09-30 |
| Justin A Chen | 10 Leonard Bodwell Rd, Narragansett, RI 02882-2218 | Pharmacy Intern | 2015-12-02 ~ 2018-09-30 |
| Nhat Pham · University of Ct School of Pharmacy | 7b Knollwood Dr, Storrs, CT 06268 | Pharmacy Intern | 1999-10-08 ~ 2003-09-30 |
| David P Gilarde · Univeristy of Ct School of Pharmacy | 25 Regency Court, Southington, CT 06489 | Pharmacy Intern | 1999-10-08 ~ 2003-09-30 |
Please comment or provide details below to improve the information on JUSTIN M DIZEK.
| 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).