ADAM J WILCZEK (Credential# 1523913) is licensed (Temporary Permit To Practice Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is July 9, 2018. The license expiration date date is November 30, 2018. The license status is INACTIVE.
ADAM J WILCZEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTP.0000476. The credential type is temporary permit to practice pharmacy. The effective date is July 9, 2018. The expiration date is November 30, 2018. The business address is 47 Oliver St, Fairhaven, MA 02719-4839. The current status is inactive.
| Licensee Name | ADAM J WILCZEK |
| Credential ID | 1523913 |
| Credential Number | PTP.0000476 |
| Credential Type | TEMPORARY PERMIT TO PRACTICE PHARMACY |
| Business Address |
47 Oliver St Fairhaven MA 02719-4839 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2018-07-09 |
| Effective Date | 2018-07-09 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2018-12-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1528466 | PCT.0014645 | PHARMACIST | - | EXPIRED APPLICATION |
| Street Address | 47 OLIVER ST |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-4839 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eleanor Savannah Taylor | 91 Dogwood Street, Fairhaven, MA 02719 | Registered Nurse | ~ |
| Robin L Bancroft | 4 Birchfield St, Fairhaven, MA 02719 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lisa Ann Constantine | 33 Main Street 2n, Fairhaven, MA 02719 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Richard C Pelletier | 3 Fort Street, Fairhaven, MA 02719 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Donna M Konicki | 149 Balsam Street, Fairhaven, MA 02719 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Madison Shields | 121 Chestnut Street, Fairhaven, MA 02719 | Emergency Medical Technician | ~ |
| Gregory K Vohnoutka | 19 Plymouth Ave, Fairhaven, MA 02719 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Steven J Konicki | 149 Balsam St, Fairhaven, MA 02719 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Paulo J. Paulino | 25 Maitland St., Fairhaven, MA 02719 | Hoisting Equipment Operator | 2018-09-24 ~ 2020-09-23 |
| Raymond P Jarvis | 14 Brook Dr, Fairhaven, MA 02719 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Find all Licenses in zip 02719 | |||
| City | FAIRHAVEN |
| Zip Code | 02719 |
| License Type | TEMPORARY PERMIT TO PRACTICE PHARMACY |
| License Type + County | TEMPORARY PERMIT TO PRACTICE PHARMACY + FAIRHAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eby Thomas | 624 Freeland Ave, Paramus, NJ 07652-1936 | Temporary Permit To Practice Pharmacy | 2013-03-22 ~ 2013-09-30 |
| Jagruti Patel | Ellington, CT 06029 | Temporary Permit To Practice Pharmacy | 2004-12-03 ~ 2005-03-03 |
| Lily L Lu | 12 Colby Ct, New Haven, CT 06515-1835 | Temporary Permit To Practice Pharmacy | 2020-06-15 ~ 2020-10-01 |
| Saman Mirzaei | 7 Angus Dr, Cumberland, RI 02864 | Temporary Permit To Practice Pharmacy | 2019-11-05 ~ 2020-04-30 |
| Phuc H Tran | 5 Bethpage Dr, Mechanicsburg, PA 17050 | Temporary Permit To Practice Pharmacy | 2019-07-31 ~ 2019-11-30 |
| Yu Cheung | 5 Laurel Hill Ln, Burlington, MA 01803-4501 | Temporary Permit To Practice Pharmacy | 2019-06-25 ~ 2019-10-01 |
| Erika B Andrades | 12 Cranberry Dr, Holyoke, MA 01040-9738 | Temporary Permit To Practice Pharmacy | 2019-03-15 ~ 2019-07-01 |
| Chinwe Onyeukwu | 340 Canton St, Randolph, MA 02368-1507 | Temporary Permit To Practice Pharmacy | 2019-07-18 ~ 2019-10-31 |
| Ginger Otoole | 29 Southwood Rd, Enfield, CT 06082 | Temporary Permit To Practice Pharmacy | 2000-11-22 ~ 2000-12-15 |
| Marie L Dimicco | 366 N Greeley Ave, Chappaqua, NY 10514-2748 | Temporary Permit To Practice Pharmacy | 2009-05-01 ~ 2009-08-01 |
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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).