MARCO J RUSSO
Controlled Substance Registration for Practitioner


Address: 200 Broad St Apt 2144, Stamford, CT 06901-2069

MARCO J RUSSO (Credential# 1381249) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

MARCO J RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064115. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 200 Broad St Apt 2144, Stamford, CT 06901-2069. The current status is lapsed.

Basic Information

Licensee Name MARCO J RUSSO
Credential ID 1381249
Credential Number CSP.0064115
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 200 Broad St Apt 2144
Stamford
CT 06901-2069
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-09-28
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 200 BROAD ST APT 2144
City STAMFORD
State CT
Zip Code 06901-2069

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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Dataset Information

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).

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