JORGE L HERNANDEZ (Credential# 1643686) 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.
JORGE L HERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MMDT.0000123. 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 119 Park Ave, Derby, CT 06418-1637. The current status is active.
| Licensee Name | JORGE L HERNANDEZ |
| Credential ID | 1643686 |
| Credential Number | MMDT.0000123 |
| Credential Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| Business Address |
119 Park Ave Derby CT 06418-1637 |
| 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 | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 999060 | PTN.0013402 | PHARMACY TECHNICIAN | 2011-05-25 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1497943 | MMDT.0000088 | MEDICAL MARIJUANA DISPENSARY TECHNICIAN | 2018-03-16 | 2019-03-17 - 2020-03-16 | INACTIVE |
| 1269928 | MMDT.0000017 | MEDICAL MARIJUANA DISPENSARY TECHNICIAN | 2015-03-11 | 2017-03-12 - 2018-03-11 | INACTIVE |
| Street Address | 119 PARK AVE |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1637 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alysha J Villacis | 125 Park Ave, Derby, CT 06418-1637 | Emergency Medical Responder | 2013-08-30 ~ 2016-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | MEDICAL MARIJUANA DISPENSARY TECHNICIAN |
| License Type + County | MEDICAL MARIJUANA DISPENSARY TECHNICIAN + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luz E Hernandez | 28 Middlebrook Rd, Newington, CT 06111-4030 | Medical Marijuana Dispensary Technician | 2020-03-31 ~ 2021-03-31 |
| Extraordinary Needs Dispensary LLC | 285 Columbus Blvd, New Britain, CT 06051-2638 | Medical Marijuana Dispensary Facility | ~ |
| Alexa R Plantamuro | 56 Pondview Ln, Bristol, CT 06010-3078 | Medical Marijuana Dispensary Technician | ~ |
| 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 |
| Ffd North LLC · Fine Fettle Dispensary | 711 E Main St, Meriden, CT 06450-6018 | Medical Marijuana Dispensary Facility | ~ |
| Ffd East LLC · Fine Fettle Dispensary | 436 Broad St Ste B, New London, CT 06320-3746 | Medical Marijuana Dispensary Facility | ~ |
| Ffd South LLC · Fine Fettle Dispensary | 64 Magee Ave, Stamford, CT 06902-5907 | Medical Marijuana Dispensary Facility | ~ |
| Ffd Central LLC · Fine Fettle Dispensary | 1548 W Main St, Willimantic, CT 06226-1142 | Medical Marijuana Dispensary Facility | 2019-12-20 ~ 2020-12-19 |
| David M Townsend Jr | 56 Tedesco Dr, Waterbury, CT 06708-4524 | Medical Marijuana Dispensary Technician | 2020-06-25 ~ 2021-06-24 |
Please comment or provide details below to improve the information on JORGE L HERNANDEZ.
| 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).