JAIRO M MONTEZUMA-RUSCA (Credential# 1174496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JAIRO M MONTEZUMA-RUSCA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052396. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 40 King Edward Rd, West Hartford, CT 06117-1417. The current status is active.
| Licensee Name | JAIRO M MONTEZUMA-RUSCA |
| Credential ID | 1174496 |
| Credential Number | 1.052396 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 King Edward Rd West Hartford CT 06117-1417 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-17 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1189417 | CSP.0056287 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-10-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1403828 | CSP.0064827 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-01 | 2017-03-01 - 2019-02-28 | INACTIVE |
| Street Address | 40 KING EDWARD RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1417 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Lesser · City of Hartford | 18 King Edward Rd, West Hartford, CT 06117-1417 | Plumbing & Piping Unlimited Contractor | 2019-09-05 ~ 2019-09-05 |
| Robert Lesser Plg & Htg Inc | 18 King Edward Rd, West Hartford, CT 06117-1417 | Home Improvement Contractor | 2019-09-05 ~ 2019-09-05 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary E Skowron | 5364 Montezuma Rd, Montezuma, CO 80435 | Registered Nurse | 2005-09-07 ~ 2006-08-31 |
| Jairo Lenin Ulloa | 4500 13th Street, Gulfport, MS 39507 | Physician/surgeon | 2017-03-01 ~ 2018-03-31 |
| Montezuma Fund V., Lp | 1048 Pearl St., Boulder, CO 80302 | Securities - Exemptions | 2020-02-25 ~ |
| Montezuma Triple Sec | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-04-18 ~ 2020-04-16 |
| Montezuma Blue | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-03-17 ~ 2021-03-15 |
| Montezuma Tequila Gold | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-08-28 ~ 2021-08-18 |
| Montezuma Aztec Silver | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-02-08 ~ 2020-02-07 |
| Jairo's Home Improvement LLC | 2 Tomlinson St, Ansonia, CT 06401-1109 | Home Improvement Contractor | 2015-12-22 ~ 2016-11-30 |
| Karen D Simses | 205 S 4th St Apt E, Montezuma, IA 50171-1158 | Registered Nurse | 2009-09-16 ~ 2010-10-31 |
| Judith E Bradley | 313 Marshall Ave, Montezuma, GA 31063-1324 | Licensed Practical Nurse | 2017-04-01 ~ 2018-03-31 |
Please comment or provide details below to improve the information on JAIRO M MONTEZUMA-RUSCA.
| 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).