JORDAN M DIEBOLT (Credential# 1053626) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2012. The license expiration date date is September 30, 2014. The license status is INACTIVE.
JORDAN M DIEBOLT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0006871. The credential type is pharmacy intern. The effective date is March 1, 2012. The expiration date is September 30, 2014. The business address is 13 Cornelia Ct, Boston, MA 02120-2653. The current status is inactive.
| Licensee Name | JORDAN M DIEBOLT |
| Credential ID | 1053626 |
| Credential Number | PCI.0006871 |
| Credential Type | PHARMACY INTERN |
| Business Address |
13 Cornelia Ct Boston MA 02120-2653 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-03-01 |
| Effective Date | 2012-03-01 |
| Expiration Date | 2014-09-30 |
| Refresh Date | 2015-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan M Diebolt | 44 Reservoir Rd, Middletown, CT 06457 | Pharmacy Technician | 2010-04-01 ~ 2011-03-31 |
| Street Address | 13 CORNELIA CT |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-2653 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas R Mccarty | 1480 Tremont St, Boston, MA 02120 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Chen Chen | 803 Parker Street, Boston, MA 02120 | Engineer-in-training | 2018-01-09 ~ 2028-01-09 |
| New England Baptist Hospital | 125 Parker Hill Avenue, Boston, MA 02120 | Public Charity-exempt From Financial Requirements | ~ |
| Marilyn O Cadogan | Po Box 200898, Boston, MA 02120 | Registered Nurse | 2009-09-01 ~ 2010-08-31 |
| Karen Casper Md | 846 Lawn St, Roxbury, MA 02120 | Controlled Substance Registration for Practitioner | 1998-06-11 ~ 1999-02-28 |
| Facundo Bergallo | 9 Estey Street, Roxbury, MA 02120 | Asbestos Abatement Supervisor | 2008-08-14 ~ 2008-09-30 |
| Thomas R Flynn | 75 St Alphonsus St, Boston, MA 02120 | Dentist | 2002-06-12 ~ 2003-06-30 |
| Anthony Ojugbana | 10 Hammond St Apt 7k, Boston, MA 02120 | Licensed Practical Nurse | ~ 1996-05-31 |
| Lazaros Hionidis | 78 Hillside Street, Apt. 1, Roxbury, MA 02120 | Lead Abatement Worker | 2004-05-05 ~ 2004-11-30 |
| Sofia M Litos | 31 Worthington St, Roxbury Crossing, MA 02120-1604 | Pharmacy Intern | 2007-06-28 ~ 2011-09-30 |
| Find all Licenses in zip 02120 | |||
| City | BOSTON |
| Zip Code | 02120 |
| License Type | PHARMACY INTERN |
| License Type + County | PHARMACY INTERN + BOSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily A Jordan | Po Box 81, Addison, ME 04606 | Pharmacy Intern | 1998-10-28 ~ 2002-09-30 |
| Nicole Jordan | 12 Pheasant Ln, New Boston, NH 03070 | Pharmacy Intern | 2006-08-31 ~ 2010-08-01 |
| Jordan C Anderson | 183 Center St, Bangor, ME 04401-4839 | Pharmacy Intern | 2015-09-15 ~ 2019-09-30 |
| Jordan H Vidal | 17 Sherwood Ln, Shelton, CT 06484-1944 | Pharmacy Intern | 2017-10-24 ~ 2021-09-30 |
| Jordan T Deangelis | 22 Red Oak Hill Rd, Willington, CT 06279-2010 | Pharmacy Intern | 2013-09-12 ~ 2017-09-30 |
| Jordan J Boylan | 4 Stevens St, Terryville, CT 06786-5026 | Pharmacy Intern | 2016-07-20 ~ 2018-09-30 |
| Madeline M Jordan | 230 Scott Hill Rd, Lebanon, CT 06249-2832 | Pharmacy Intern | 2018-09-24 ~ 2022-09-30 |
| Jordan A Vaccaro | 1860 Hartford Tpke, North Haven, CT 06473-1248 | Pharmacy Intern | 2019-10-11 ~ 2023-09-30 |
| Jordan Thomas Armeli | 1 Kennedy Ave Unit 1413, Danbury, CT 06810-5784 | Pharmacy Intern | 2019-06-19 ~ 2019-09-30 |
| Sridevi Panuganti | 9400 S Redwood Rd Apt 1822, West Jordan, UT 84088-6600 | Pharmacy Intern | 2013-02-07 ~ 2015-09-30 |
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| 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).