MATTHEW STORM THALLER (Credential# 2042294) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2020. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MATTHEW STORM THALLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0009553. The credential type is pharmacy intern. The effective date is May 8, 2020. The expiration date is September 30, 2020. The business address is 84 Natsisky Farm Rd, South Windsor, CT 06074-1833. The current status is active.
| Licensee Name | MATTHEW STORM THALLER |
| Credential ID | 2042294 |
| Credential Number | PCI.0009553 |
| Credential Type | PHARMACY INTERN |
| Business Address |
84 Natsisky Farm Rd South Windsor CT 06074-1833 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-08 |
| Effective Date | 2020-05-08 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2054429 | PCT.0015386 | PHARMACIST | - | PENDING |
| Street Address | 84 NATSISKY FARM RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-1833 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather M Eremita | 52 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victoria L Fox | 116 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Family Child Care Home | 2017-09-01 ~ 2021-08-31 |
| Evan A Smith | 98 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| John C Avery | 60 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Marcel T Lemieux | 44 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Electrical Unlimited Contractor | 2017-10-01 ~ 2018-09-30 |
| Matthew J Eremita | 52 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | PHARMACY INTERN |
| License Type + County | PHARMACY INTERN + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew P Listro | 557 Churchill St, Southington, CT 06489-1002 | Pharmacy Intern | 2017-06-06 ~ 2020-09-30 |
| Matthew T Smith | 70 Haven Dr, Granby, CT 06035-2911 | Pharmacy Intern | 2011-09-13 ~ 2015-09-30 |
| Matthew A Voghel | 24 Woodpark Dr, Watertown, CT 06795-2026 | Pharmacy Intern | 2011-09-13 ~ 2016-09-30 |
| Matthew L Goh | 189 Amherst Street, Torrington, CT 06790 | Pharmacy Intern | 1996-08-30 ~ 1999-09-30 |
| Matthew J Arellano | 122 Grandview Ave, Wallingford, CT 06492-5109 | Pharmacy Intern | 2016-10-17 ~ 2020-09-30 |
| Matthew J Markelon | 21 Newcomb Rd, Goshen, CT 06756-2316 | Pharmacy Intern | 2013-09-17 ~ 2015-05-21 |
| Matthew J Fagnan | 55 Lester Ave, Westwood, NJ 07675-3010 | Pharmacy Intern | 2013-09-04 ~ 2016-09-30 |
| Matthew S Jones | 187 Rethal St, Southington, CT 06489-1239 | Pharmacy Intern | 2019-11-12 ~ 2021-09-30 |
| Matthew L Moutinho | 108 Salem Rd, Prospect, CT 06712-1517 | Pharmacy Intern | 2014-05-20 ~ 2018-09-30 |
| Matthew G Minutolo | 691/2 North St, Shelton, CT 06484 | Pharmacy Intern | 2017-09-21 ~ 2021-09-30 |
Please comment or provide details below to improve the information on MATTHEW STORM THALLER.
| 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).