IWAN KURNIAWAN (Credential# 400559) is licensed (Pharmacy Technician) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
IWAN KURNIAWAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTN.0007281. The credential type is pharmacy technician. The effective date is April 23, 2012. The expiration date is March 31, 2013. The business address is 53 Duxbury Ln, Glastonbury, CT 06033-4347. The current status is inactive.
| Licensee Name | IWAN KURNIAWAN |
| Credential ID | 400559 |
| Credential Number | PTN.0007281 |
| Credential Type | PHARMACY TECHNICIAN |
| Business Address |
53 Duxbury Ln Glastonbury CT 06033-4347 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - NOT ELIGIBLE FOR REINSTATEMENT |
| Issue Date | 2005-04-08 |
| Effective Date | 2012-04-23 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2018-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 400558 | PME.0007159 | NON LEGEND DRUG PERMIT | 2005-03-28 | 2005-03-28 - 2005-12-31 | APPROVED |
| Street Address | 53 DUXBURY LN |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4347 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rotary Club of East Hartford Charitable Fund Inc | 53 Duxbury Ln, Glastonbury, CT 06033-4347 | Raffle Permit Class 1 | 2017-04-08 ~ 2017-06-07 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John V Pleckaitis | 49 Duxbury Ln, Glastonbury, CT 06033-4347 | Heating, Piping & Cooling Limited Journeyperson | 2017-09-01 ~ 2018-08-31 |
| Emily Mcnab Vassor | 35 Duxbury Ln, Glastonbury, CT 06033-4347 | Controlled Substance Registration for Practitioner | 2019-06-26 ~ 2021-02-28 |
| Vincent Pleckaitis | 49 Duxbury Ln, Glastonbury, CT 06033-4347 | Bingo Operator | 2015-11-10 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | PHARMACY TECHNICIAN |
| License Type + County | PHARMACY TECHNICIAN + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiffany Kurniawan | 2000 N St Nw Apt 627, Washington, DC 20036-2817 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| James Lyon · Simsbury Pharmacy | 154 S Main St, E Granby, CT 06026 | Pharmacy Technician | 2005-04-01 ~ 2006-03-31 |
| Lorraine Lemay | Stop & Shop Pharmacy #679, Waterbury, CT 06704 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Josephine San Severino · Cvs Pharmacy | 72 Smalley St, Rocky Hill, CT 06067 | Pharmacy Technician | 2000-03-09 ~ 2000-03-31 |
| Zachary S Ilarraza · Annex Pharmacy | 21 Midhill Dr, Hamden, CT 06514-4840 | Pharmacy Technician | 2013-04-01 ~ 2014-03-31 |
| Dave Greenwood · Brooks Pharmacy #778 | 15 Mathew St, Milford, CT 06460 | Pharmacy Technician | 2000-08-09 ~ 2001-03-31 |
| Jaime Terracciano | Cvs Pharmacy Store 1219, Stamford, CT 06906 | Pharmacy Technician | 2006-04-01 ~ 2007-03-31 |
| Kevin Mei · Mohegan Pharmacy | 67 Sandy Desert Rd, Uncasville, CT 06382-1111 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
| Grisel Martin | Expect Pharmacy, East Haven, CT 06512 | Pharmacy Technician | 2002-05-01 ~ 2003-03-31 |
| Stephanie Kiebus · Cvs Pharmacy #231 | 16 Smith Dr, East Hartford, CT 06118 | Pharmacy Technician | 2001-04-11 ~ 2002-03-31 |
Please comment or provide details below to improve the information on IWAN KURNIAWAN.
| 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).