KATIE R MATTOX (Credential# 499177) is licensed (Pharmacist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2022. The license status is ACTIVE.
KATIE R MATTOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0010968. The credential type is pharmacist. The effective date is February 1, 2020. The expiration date is January 31, 2022. The business address is 193 Boston Post Rd, Old Lyme, CT 06371-1312. The current status is active.
| Licensee Name | KATIE R MATTOX |
| Credential ID | 499177 |
| Credential Number | PCT.0010968 |
| Credential Type | PHARMACIST |
| Business Address |
193 Boston Post Rd Old Lyme CT 06371-1312 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-06-26 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2022-01-31 |
| Refresh Date | 2019-12-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 499178 | PCI.0005975 | PHARMACY INTERN | 2008-04-01 | 2008-04-01 - 2008-09-30 | INACTIVE |
| Street Address | 193 BOSTON POST RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas W Bump | 199 Boston Post Rd, Old Lyme, CT 06371-1312 | Emergency Medical Responder | 2014-01-29 ~ 2016-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | PHARMACIST |
| License Type + County | PHARMACIST + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob L Mattox | 55 Traveler St Apt 1611, Boston, MA 02118-2976 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie L Coleman | 4 Ann St, Portland, CT 06480-1112 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Misook Katie Suh · Kim (maiden) | 992 Hillstown Rd, Glastonbury, CT 06033-1324 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie Ann Laskin | 26 Kelly Court, Cheshire, CT 06410 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie M Johnstone | 29 Hurley Commons, Bristol, CT 06010-5220 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Carolyn Theresa Gelineau | 15 Katie Way, Springfield, MA 01128-1045 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie A Slater | 156 Hopewell Rd, South Glastonbury, CT 06073-2306 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie B Heavner | 14204 Black Valley Rd Ne, Flintstone, MD 21530-1128 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katie A Coughlin | 34 Ridge Road, Croton-on-hudson, NY 10520 | Pharmacist | 2012-02-01 ~ 2014-01-31 |
| Katie's Gourmet · Katie's Gourmet Inc Dba | 29 Bank St, Stamford, CT 06901 | Bakery | 2002-04-22 ~ 2002-06-30 |
Please comment or provide details below to improve the information on KATIE R MATTOX.
| 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).