KENNETH R FAIRBANKS JR
Pharmacy Intern


Address: 143 Bryn Mawr Ave, Auburn, MA 01501-1605

KENNETH R FAIRBANKS JR (Credential# 977365) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2010. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

KENNETH R FAIRBANKS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0006537. The credential type is pharmacy intern. The effective date is December 6, 2010. The expiration date is September 30, 2013. The business address is 143 Bryn Mawr Ave, Auburn, MA 01501-1605. The current status is inactive.

Basic Information

Licensee Name KENNETH R FAIRBANKS JR
Credential ID 977365
Credential Number PCI.0006537
Credential Type PHARMACY INTERN
Business Address 143 Bryn Mawr Ave
Auburn
MA 01501-1605
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-12-06
Effective Date 2010-12-06
Expiration Date 2013-09-30
Refresh Date 2014-08-31

Office Location

Street Address 143 BRYN MAWR AVE
City AUBURN
State MA
Zip Code 01501-1605

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City AUBURN
Zip Code 01501
License Type PHARMACY INTERN
License Type + County PHARMACY INTERN + AUBURN

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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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