PHILLIP RUISI (Credential# 1391739) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
PHILLIP RUISI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064411. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 439 Mill Hill Ave, Bridgeport, CT 06610-2866. The current status is inactive.
| Licensee Name | PHILLIP RUISI |
| Credential ID | 1391739 |
| Credential Number | CSP.0064411 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
439 Mill Hill Ave Bridgeport CT 06610-2866 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-12-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1389386 | 1.055996-DO | Physician/Surgeon | 2016-12-13 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 439 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2866 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irma Fotjadhi | 439 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen J Marshalko | 439 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Adolfo J Luciano Md | 439 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Adam N Clark Md | 439 Mill Hill Ave, Bridgeport, CT 06610 | Physician/surgeon | 2007-04-04 ~ 2008-04-30 |
| Stanley Weglarz Md | 439 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Stanley S Weglarz | 439 Mill Hill Ave, Bridgeport, CT 06610 | Physician/surgeon | 1993-01-25 ~ 1994-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Ruisi Md | 1630 Worcester Rd Apt 405, Framingham, MA 01702-5453 | Controlled Substance Registration for Practitioner | 2009-06-09 ~ 2011-02-28 |
| Phillip Brewer Md | 275 Mount Carmel Ave, Hamden, CT 06518-1905 | Controlled Substance Registration for Practitioner | 2013-04-19 ~ 2015-02-28 |
| Gabrielle Phillip | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phillip Chappell | 153 Elm Street, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phillip Joseph | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
| Phillip Werman | 171d Clark St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Phillip J Lerner | 151 Farmington Avenue, Hartford, CT 06156 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phillip Nickerson | 109 Church St Unit 204, New Haven, CT 06510-3025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danielle S Phillip-journal | 132 Main St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phillip P Smith Md | 5 Willow Lane, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PHILLIP RUISI.
| 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).