PETER D RUSSO DMD (Credential# 156018) 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.
PETER D RUSSO DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013703. 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 53 Montowese St, Branford, CT 06405. The current status is active.
| Licensee Name | PETER D RUSSO DMD |
| Credential ID | 156018 |
| Credential Number | CSP.0013703 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
53 Montowese St Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701642 | 2.006739 | Dentist | 1988-07-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 53 MONTOWESE ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Ott · General Home Improvements | 53 Montowese St, Branford, CT 06405 | Home Improvement Contractor | 1996-04-22 ~ 1996-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne Russo | 424 Judson Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2001-03-29 ~ 2002-02-28 |
| Robert D Russo Jr | P.o.box 6128, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony J Russo Dds | 85 Prospect St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Justin M Russo | 64 Addison Rd Apt 102, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anna Russo | 110 Lawnwood Ave, Longmeadow, MA 01106-3021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher J Russo | 118 Bridgewater Dr, Avon, CT 06001-4404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patroula I Smpokou | 173 Russo Ave # 201, East Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2009-03-31 ~ 2011-02-28 |
| Marco J Russo | 200 Broad St Apt 2144, Stamford, CT 06901-2069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Armand V Russo | 1044 Chapel St Apt 203, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher Ryan Russo | 300 Stafford St Ste 154, Springfield, MA 01104-3583 | Controlled Substance Registration for Practitioner | 2020-03-27 ~ 2021-02-28 |
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| 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).