JORDAN M DIEBOLT
Pharmacy Technician


Address: 44 Reservoir Rd, Middletown, CT 06457

JORDAN M DIEBOLT (Credential# 479248) is licensed (Pharmacy Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.

Business Overview

JORDAN M DIEBOLT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTN.0009698. The credential type is pharmacy technician. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 44 Reservoir Rd, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name JORDAN M DIEBOLT
Credential ID 479248
Credential Number PTN.0009698
Credential Type PHARMACY TECHNICIAN
Business Address 44 Reservoir Rd
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - NOT ELIGIBLE FOR REINSTATEMENT
Issue Date 2007-08-10
Effective Date 2010-04-01
Expiration Date 2011-03-31
Refresh Date 2018-08-20

Other locations

Licensee Name Office Address Credential Effective / Expiration
Jordan M Diebolt 13 Cornelia Ct, Boston, MA 02120-2653 Pharmacy Intern 2012-03-01 ~ 2014-09-30

Office Location

Street Address 44 RESERVOIR RD
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type PHARMACY TECHNICIAN
License Type + County PHARMACY TECHNICIAN + MIDDLETOWN

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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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