STACY A KROM (Credential# 1647230) is licensed (Medical Marijuana Dispensary Technician) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2020. The license expiration date date is April 12, 2021. The license status is ACTIVE.
STACY A KROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MMDT.0000129. The credential type is medical marijuana dispensary technician. The effective date is April 13, 2020. The expiration date is April 12, 2021. The business address is 19 Carley St, Shelton, CT 06484-3903. The current status is active.
| Licensee Name | STACY A KROM |
| Credential ID | 1647230 |
| Credential Number | MMDT.0000129 |
| Credential Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| Business Address |
19 Carley St Shelton CT 06484-3903 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-12 |
| Effective Date | 2020-04-13 |
| Expiration Date | 2021-04-12 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1386239 | PTN.0019974 | PHARMACY TECHNICIAN | 2016-10-27 | 2020-04-01 - 2021-03-31 | ACTIVE |
| Street Address | 19 CARLEY ST |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-3903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Lizeth Castro-cazares | 13 Carley St, Shelton, CT 06484-3903 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| License Type + County | MEDICAL MARIJUANA DISPENSARY TECHNICIAN + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Extraordinary Needs Dispensary LLC | 285 Columbus Blvd, New Britain, CT 06051-2638 | Medical Marijuana Dispensary Facility | ~ |
| Alexa R Plantamuro | 56 Pondview Ln, Bristol, CT 06010-3078 | Medical Marijuana Dispensary Technician | ~ |
| Michael A Bok | 995 Old Turnpike Rd, Plantsville, CT 06479-1747 | Medical Marijuana Dispensary Technician | 2020-04-25 ~ 2021-04-24 |
| Luz E Hernandez | 28 Middlebrook Rd, Newington, CT 06111-4030 | Medical Marijuana Dispensary Technician | 2020-03-31 ~ 2021-03-31 |
| Joy P Vanallen | 114 Charter Oak St, Manchester, CT 06040-7014 | Medical Marijuana Dispensary Technician | 2020-05-28 ~ 2021-05-28 |
| Ffd South LLC · Fine Fettle Dispensary | 64 Magee Ave, Stamford, CT 06902-5907 | Medical Marijuana Dispensary Facility | ~ |
| Ffd East LLC · Fine Fettle Dispensary | 436 Broad St Ste B, New London, CT 06320-3746 | Medical Marijuana Dispensary Facility | ~ |
| Ffd North LLC · Fine Fettle Dispensary | 711 E Main St, Meriden, CT 06450-6018 | Medical Marijuana Dispensary Facility | ~ |
| Ffd Central LLC · Fine Fettle Dispensary | 1548 W Main St, Willimantic, CT 06226-1142 | Medical Marijuana Dispensary Facility | 2019-12-20 ~ 2020-12-19 |
| Staci L Dionne | 173 Sunnydale Ave, Bristol, CT 06010-0405 | Medical Marijuana Dispensary Technician | 2020-05-08 ~ 2021-05-07 |
Please comment or provide details below to improve the information on STACY A KROM.
| 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).