ALICIA M FULLEM
Pharmacist


Address: 150 Lincoln St Apt 2, Worcester, MA 01605-2412

ALICIA M FULLEM (Credential# 1118992) is licensed (Pharmacist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2020. The license status is LAPSED.

Business Overview

ALICIA M FULLEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0012481. The credential type is pharmacist. The effective date is February 1, 2018. The expiration date is January 31, 2020. The business address is 150 Lincoln St Apt 2, Worcester, MA 01605-2412. The current status is lapsed.

Basic Information

Licensee Name ALICIA M FULLEM
Credential ID 1118992
Credential Number PCT.0012481
Credential Type PHARMACIST
Business Address 150 Lincoln St Apt 2
Worcester
MA 01605-2412
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2012-12-18
Effective Date 2018-02-01
Expiration Date 2020-01-31
Refresh Date 2020-02-05

Office Location

Street Address 150 LINCOLN ST APT 2
City WORCESTER
State MA
Zip Code 01605-2412

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Michael R Barbera 2 Terrance Dr, Worcester, MA 01605 Real Estate Broker ~
Mark S Distefano 292 Lincoln Street, Worcester, MA 01605 Physician/surgeon 2019-06-01 ~ 2020-05-31
Supriya K. Atianand 16 Cadorna Road, Worcester, MA 01605 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Pankaj A. Ksheersagar Md 119 Belmont Street, Worcester, MA 01605 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Competitor

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City WORCESTER
Zip Code 01605
License Type PHARMACIST
License Type + County PHARMACIST + WORCESTER

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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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