DAVID PHILIP BLACK
Pharmacy Intern


Address: 19 Howard Avenue, Branford, CT 06405

DAVID PHILIP BLACK (Credential# 287288) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2001. The license expiration date date is September 30, 2006. The license status is INACTIVE.

Business Overview

DAVID PHILIP BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0005022. The credential type is pharmacy intern. The effective date is September 26, 2001. The expiration date is September 30, 2006. The business address is 19 Howard Avenue, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name DAVID PHILIP BLACK
Credential ID 287288
Credential Number PCI.0005022
Credential Type PHARMACY INTERN
Business Address 19 Howard Avenue
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2001-09-26
Effective Date 2001-09-26
Expiration Date 2006-09-30
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
437872 PCT.0010578 PHARMACIST - INACTIVE

Office Location

Street Address 19 HOWARD AVENUE
City BRANFORD
State CT
Zip Code 06405

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Brittany Ciaramello 19 Howard Avenue, Branford, CT 06405 Controlled Substance Registration for Practitioner 2019-07-31 ~ 2021-02-28

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Raymond M Johnson 39 Bayberry Lane, Branford, CT 06405 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kirsten M Ranciato 288 East Main Street, Branford, CT 06405 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Bimala Khadka Thapa 726 Robert Frost Dr., Branford, CT 06405 Nail Technician ~
Paul E Basile 42 Valley Brook Road South, Branford, CT 06405 Perfusionist 2020-08-01 ~ 2021-07-31
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Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
Ujeli Acharya 21 Burban Drive, Branford, CT 06405 Nail Technician ~
Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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Competitor

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City BRANFORD
Zip Code 06405
License Type PHARMACY INTERN
License Type + County PHARMACY INTERN + BRANFORD

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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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