ELIZABETH GULTOM (Credential# 1652316) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
ELIZABETH GULTOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0009251. The credential type is pharmacy intern. The effective date is May 1, 2019. The expiration date is September 30, 2020. The business address is 15 Saint Mary St, Medford, MA 02155-2827. The current status is active.
| Licensee Name | ELIZABETH GULTOM |
| Credential ID | 1652316 |
| Credential Number | PCI.0009251 |
| Credential Type | PHARMACY INTERN |
| Business Address |
15 Saint Mary St Medford MA 02155-2827 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-01 |
| Effective Date | 2019-05-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-05-06 |
| Street Address | 15 SAINT MARY ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-2827 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Management Sciences for Health Inc | 200 River's Edge Drive, Medford, MA 02155 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Chi Quynh Ha | 70 Medford St, Medford, MA 02155 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Edelweiss Enterprises Inc | 19 Blake St, Medford, MA 02155 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Anne W Herzog | 53 Pembroke St, Medford, MA 02155 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Theresa M Brancieri | 73 Lyman Avenue, Medford, MA 02155 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joseph F Antonelli | One Summit Rd, Medford, MA 02155 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| John J Dennis | 92 High St Suite #1, Medford, MA 02155 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Megan A Jacques | 14 Walsh Street, Medford, MA 02155 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Bijan Bandani | 12 9th Street, Medford, MA 02155 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Domenic Quaraglia | 100 Lawrence St, Medford, MA 02155 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02155 | |||
| City | MEDFORD |
| Zip Code | 02155 |
| License Type | PHARMACY INTERN |
| License Type + County | PHARMACY INTERN + MEDFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth E Bennett | 15 Patricia Drive, Cape Elizabeth, ME 04107 | Pharmacy Intern | 1995-10-03 ~ 1998-09-30 |
| Elizabeth Tc Record | 14 Locksley Road, Cape Elizabeth, ME 04107 | Pharmacy Intern | 1993-07-08 ~ 1999-03-31 |
| Elizabeth E Mielnicki | 310 South St, Douglas, MA 01516 | Pharmacy Intern | 2017-09-12 ~ 2021-09-30 |
| Elizabeth M Larose | 100 Morgan Rd, Salem, CT 06420-3853 | Pharmacy Intern | 2014-09-22 ~ 2018-09-30 |
| Elizabeth R Klejna | West Springfield, MA 01089 | Pharmacy Intern | 2016-09-07 ~ 2020-09-30 |
| Elizabeth L Nguyen | 29 Temple St Apt 22, Hartford, CT 06103-1330 | Pharmacy Intern | 2015-08-26 ~ 2018-09-30 |
| S Elizabeth Lucini | 813 Keanna Ave, Pittsburgh, PA 15234 | Pharmacy Intern | 2002-10-17 ~ 2006-09-30 |
| Elizabeth A Marino | 955 Green Cir, Orange, CT 06477-1738 | Pharmacy Intern | 2019-09-09 ~ 2023-09-30 |
| Elizabeth F Kofsky | 452 Noxon Rd, Poughkeepsie, NY 12603-3755 | Pharmacy Intern | 2015-07-06 ~ 2019-09-30 |
| Elizabeth G Allen | 48 Valley Rd, Brewster, MA 02631-2729 | Pharmacy Intern | 2016-09-19 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ELIZABETH GULTOM.
| 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).