SAMANTHA L PENDERGAST (Credential# 1119330) is licensed (Pharmacy Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is March 31, 2014. The license status is INACTIVE.
SAMANTHA L PENDERGAST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTN.0014498. The credential type is pharmacy technician. The effective date is April 1, 2013. The expiration date is March 31, 2014. The business address is 29 Rocklyn Dr, West Simsbury, CT 06092-2630. The current status is inactive.
| Licensee Name | SAMANTHA L PENDERGAST |
| Credential ID | 1119330 |
| Credential Number | PTN.0014498 |
| Credential Type | PHARMACY TECHNICIAN |
| Business Address |
29 Rocklyn Dr West Simsbury CT 06092-2630 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - NOT ELIGIBLE FOR REINSTATEMENT |
| Issue Date | 2012-08-22 |
| Effective Date | 2013-04-01 |
| Expiration Date | 2014-03-31 |
| Refresh Date | 2018-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1031306 | 70.014157 | Emergency Medical Technician | 2011-09-12 | 2011-09-12 - 2014-01-01 | INACTIVE |
| Street Address | 29 ROCKLYN DR |
| City | WEST SIMSBURY |
| State | CT |
| Zip Code | 06092-2630 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Lazorik | 31 Rocklyn Dr, West Simsbury, CT 06092-2630 | Home Improvement Salesperson | 2019-02-27 ~ 2019-11-30 |
| Vilma V Arhin | 31 Rocklyn Dr, West Simsbury, CT 06092-2630 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard E Schoenhardt | 7 Pasture Ln, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Agnes M Walsh | 202 Farms Village Road, West Simsbury, CT 06092 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Theodore C Hsu | 22 Fox Den Road, West Simsbury, CT 06092 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Keith R Epstein | 34 Fox Den Rd, Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Laura L Nelson | 109 Hedgehog Lane, West Simsbury, CT 06092 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Kathryn P Rothstein | 7 Sachems Trail, West Simsbury, CT 06092 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Timothy M Parker | 14 Cedar Hill Rd, West Simsbury, CT 06092 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Teresa Pfau St Denis | 55 Wildwood Rd, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jennifer R Martocchio | 6 Counrty Club Drive, West Simsbury, CT 06092 | Real Estate Salesperson | ~ |
| Felipe R Segura | 370c West Mountain Road, West Simsbury, CT 06092 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
| Find all Licenses in zip 06092 | |||
| City | WEST SIMSBURY |
| Zip Code | 06092 |
| License Type | PHARMACY TECHNICIAN |
| License Type + County | PHARMACY TECHNICIAN + WEST SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrica R Pendergast | 3 Sunrise Dr, Danbury, CT 06811 | Pharmacy Technician | 2004-05-17 ~ 2005-03-31 |
| Samantha Pendergast Predmore | 46 Selma Court, Weatogue, CT 06089-9623 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| James D Pendergast · Pendergast Construction | 3 Quiet Cove Ln, Griswold, CT 06351 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Samantha T Lugauskas | Po Box 362, Dayville, CT 06241-0362 | Pharmacy Technician | 2011-06-10 ~ 2012-03-31 |
| Samantha M Orfino | Po Box 163, Milford, CT 06460-0163 | Pharmacy Technician | 2012-04-01 ~ 2013-03-31 |
| Samantha I Thompson | Waterbury, CT 06705 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
| Samantha Burgos | 130 Adelaide St, Hartford, CT 06114 | Pharmacy Technician | 2019-04-04 ~ 2020-03-31 |
| Samantha R Parks | 7 Old Mill Rd, Clinton, CT 06413-1728 | Pharmacy Technician | 2018-09-18 ~ 2019-03-31 |
| Samantha Pregano | 118 Birch Ln, Naugatuck, CT 06770-2500 | Pharmacy Technician | 2015-02-18 ~ 2016-03-31 |
| Samantha M Gonzalez | 18 Natalie St, Hartford, CT 06106 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Please comment or provide details below to improve the information on SAMANTHA L PENDERGAST.
| 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).