STEPHANIE LISENKO (Credential# 1641238) is licensed (Medical Marijuana Dispensary Technician) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2020. The license expiration date date is April 3, 2021. The license status is ACTIVE.
STEPHANIE LISENKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MMDT.0000118. The credential type is medical marijuana dispensary technician. The effective date is April 4, 2020. The expiration date is April 3, 2021. The business address is 199 Homestead St Apt C10, Manchester, CT 06042-3063. The current status is active.
| Licensee Name | STEPHANIE LISENKO |
| Credential ID | 1641238 |
| Credential Number | MMDT.0000118 |
| Credential Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| Business Address |
199 Homestead St Apt C10 Manchester CT 06042-3063 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-03 |
| Effective Date | 2020-04-04 |
| Expiration Date | 2021-04-03 |
| Refresh Date | 2020-03-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1321836 | PTN.0018418 | PHARMACY TECHNICIAN | 2015-11-19 | 2018-04-01 - 2019-03-31 | INACTIVE |
| Street Address | 199 HOMESTEAD ST APT C10 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-3063 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Oz M Pariser | 28 Horton Rd, Manchester, CT 06042-3063 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Edward K Avor | 199 Homestead St Apt C8, Manchester, CT 06042-3063 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| License Type + County | MEDICAL MARIJUANA DISPENSARY TECHNICIAN + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie C Cecchini | 336 Hillstown Rd, Manchester, CT 06040-6311 | Medical Marijuana Dispensary Technician | 2019-12-04 ~ 2020-12-04 |
| Stephanie R Bianchi | 18 Felice Rd, Bristol, CT 06010-2866 | Medical Marijuana Dispensary Facility Employee | 2019-12-21 ~ 2020-12-20 |
| Stephanie Anne Quigley | 27b Maple Dr, Monroe, CT 06468-1638 | Medical Marijuana Dispensary Facility Employee | 2018-05-09 ~ 2019-05-09 |
| Extraordinary Needs Dispensary LLC | 285 Columbus Blvd, New Britain, CT 06051-2638 | Medical Marijuana Dispensary Facility | ~ |
| Joy P Vanallen | 114 Charter Oak St, Manchester, CT 06040-7014 | Medical Marijuana Dispensary Technician | 2020-05-28 ~ 2021-05-28 |
| Michael A Bok | 995 Old Turnpike Rd, Plantsville, CT 06479-1747 | Medical Marijuana Dispensary Technician | 2020-04-25 ~ 2021-04-24 |
| Alexa R Plantamuro | 56 Pondview Ln, Bristol, CT 06010-3078 | Medical Marijuana Dispensary Technician | ~ |
| Luz E Hernandez | 28 Middlebrook Rd, Newington, CT 06111-4030 | Medical Marijuana Dispensary Technician | 2020-03-31 ~ 2021-03-31 |
| Ffd North LLC · Fine Fettle Dispensary | 711 E Main St, Meriden, CT 06450-6018 | Medical Marijuana Dispensary Facility | ~ |
| Ffd South LLC · Fine Fettle Dispensary | 64 Magee Ave, Stamford, CT 06902-5907 | Medical Marijuana Dispensary Facility | ~ |
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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).