SHELBY L BLALOCK (Credential# 1607737) 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.
SHELBY L BLALOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0014711. The credential type is pharmacist. The effective date is February 1, 2020. The expiration date is January 31, 2022. The business address is 15 Forest Lawn Ave, Stamford, CT 06905-4306. The current status is active.
| Licensee Name | SHELBY L BLALOCK |
| Credential ID | 1607737 |
| Credential Number | PCT.0014711 |
| Credential Type | PHARMACIST |
| Business Address |
15 Forest Lawn Ave Stamford CT 06905-4306 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-30 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2022-01-31 |
| Refresh Date | 2019-12-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1616859 | PTP.0000492 | TEMPORARY PERMIT TO PRACTICE PHARMACY | 2018-11-30 | 2018-11-30 - 2019-03-01 | INACTIVE |
| 1616858 | PTN.0023289 | PHARMACY TECHNICIAN | - | PENDING |
| Street Address | 15 FOREST LAWN AVE |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-4306 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J & I General Construction LLC | 17 Forest Lawn Ave, Stamford, CT 06905-4306 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | PHARMACIST |
| License Type + County | PHARMACIST + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Blalock Building Company Inc | 7309 Gadsden Hwy, Trussville, AL 35173-1647 | Major Contractor | 2011-07-01 ~ 2012-06-30 |
| Prasenjit Bhaumik | 1704 Shelby Ct, Severn, MD 21144-1070 | Pharmacist | ~ |
| Ramandeep Kaur Bhullar | 1704 Shelby Ct, Severn, MD 21144-1070 | Pharmacist | ~ |
| Shelby 5 | 1285 East Putnam Ave, Old Greenwich, CT 06870 | Retail Gasoline Dealer | 2001-02-20 ~ 2001-10-31 |
| Shelby Santiago | 270 Flagstone Dr, Bethlehem, PA 18017-3814 | Radiographer | 2020-02-13 ~ 2020-07-31 |
| Joseph C Blalock Jr | 401 S Umbarher Rd, Muncie, IN 47304 | Landscape Architect | 2001-08-13 ~ 2002-07-31 |
| Shelby Williams Industries Inc | Po Box 1028, Morristown, TN 37816 | Manufacturer of Bedding & Upholstered Furniture | 2010-05-01 ~ 2011-04-30 |
| James Blalock | 35 Elm St., Naugatuck, CT 06770 | Medication Administration Certification | 2017-10-04 ~ 2019-10-03 |
| John Blalock | 55 Railroad Ave, Chester, CT 06412-1253 | Emergency Medical Responder | 2018-12-20 ~ 2021-09-30 |
| Racheal Deann Blalock | 172 Hawthorne Dr Apt 21g, New London, CT 06320-4044 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on SHELBY L BLALOCK.
| 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).