DMITRI DAVID BROITMAN
Pharmacist


Address: 101 N Railroad Ave, Staten Island, NY 10304-4415

DMITRI DAVID BROITMAN (Credential# 214059) is licensed (Pharmacist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2020. The license status is LAPSED.

Business Overview

DMITRI DAVID BROITMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0009170. The credential type is pharmacist. The effective date is February 1, 2018. The expiration date is January 31, 2020. The business address is 101 N Railroad Ave, Staten Island, NY 10304-4415. The current status is lapsed.

Basic Information

Licensee Name DMITRI DAVID BROITMAN
Credential ID 214059
Credential Number PCT.0009170
Credential Type PHARMACIST
Business Address 101 N Railroad Ave
Staten Island
NY 10304-4415
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-10-15
Effective Date 2018-02-01
Expiration Date 2020-01-31
Refresh Date 2020-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
220314 PCI.0004762 PHARMACY INTERN 1999-09-24 - 1999-10-15 INACTIVE

Office Location

Street Address 101 N RAILROAD AVE
City STATEN ISLAND
State NY
Zip Code 10304-4415

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Competitor

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City STATEN ISLAND
Zip Code 10304
License Type PHARMACIST
License Type + County PHARMACIST + STATEN ISLAND

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Dataset Information

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).

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