RYAN W RUSSELL
Controlled Substance Registration for Practitioner


Address: 7084 Cahill Road, Minneapolis, MN 55439

RYAN W RUSSELL (Credential# 1424723) 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 ACTIVE.

Business Overview

RYAN W RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065437. 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 7084 Cahill Road, Minneapolis, MN 55439. The current status is active.

Basic Information

Licensee Name RYAN W RUSSELL
Credential ID 1424723
Credential Number CSP.0065437
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7084 Cahill Road
Minneapolis
MN 55439
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1488801 1.058196-RES Resident Physician 2017-07-01 2017-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 7084 CAHILL ROAD
City MINNEAPOLIS
State MN
Zip Code 55439

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Circlerock, LLC 7900 W.78th Street, Edina, MN 55439 Securities - Exemptions 2019-03-19 ~
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Matthew W Fults 7705 Bush Lake Road, Edina, MN 55439 Professional Engineer 2020-02-01 ~ 2021-01-31
Pinky Swear Foundation · F/k/a Miracles of Mitch Foundation 5555 West 78th Street, Suite E, Edina, MN 55439 Public Charity 2019-12-01 ~ 2020-11-30
Joanna Kokoszka Md 7615 Stonewood Ct, Edina, MN 55439 Controlled Substance Registration for Practitioner 2004-03-05 ~ 2005-02-28
Michael A Webert 7705 Bush Lake Road, Edina, MN 55439 Professional Engineer 2020-02-01 ~ 2021-01-31
Starkey Hearing Foundation 6801 Washington Ave S, Edina, MN 55439-1507 Public Charity 2019-12-16 ~ 2020-11-30
Kristi L Pohlidal 6924 Valley View Rd, Edina, MN 55439-1648 Registered Nurse 2016-02-01 ~ 2017-01-31
Children's Cancer Research Fund 7301 Ohms Ln Ste 460, Minneapolis, MN 55439-2339 Public Charity 2020-06-01 ~ 2021-05-31
Agiliti Health Inc 6625 W 78th St Ste 300, Minneapolis, MN 55439-2650 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
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Competitor

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City MINNEAPOLIS
Zip Code 55439
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MINNEAPOLIS

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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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