Eugene T Diotalevi Pharmacist
51-d Wedgewood Road, Stratford, CT 06614


Eugene T Diotalevi is licensed in the eLicensing system of Connecticut. The license credential ID is 36330. The license type is PHARMACIST. The license status is LAPSED. The address is 51-d Wedgewood Road, Stratford, CT 06614. The zip code is 06614.


Eugene T Diotalevi · 51-d Wedgewood Road, Stratford, CT 06614

Credential ID 36330
Name EUGENE T DIOTALEVI
Type INDIVIDUAL
Address 51-D WEDGEWOOD ROAD
STRATFORD, CT 06614
License Credential PHARMACIST
Full Credential Code PCT.0003219
Credential Type PCT
Credential Number 3219
Status LAPSED
Active 1
Effective Date 02/01/2014
Expiration Date 01/31/2016
Record Refresh Date 02/05/201

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