BARRY RUSSMAN MD (Credential# 157297) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
BARRY RUSSMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015776. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 2659 Sw Vista Ave, Portland, OR 97201. The current status is inactive.
| Licensee Name | BARRY RUSSMAN MD |
| Credential ID | 157297 |
| Credential Number | CSP.0015776 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2659 Sw Vista Ave Portland OR 97201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-03-01 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541272 | 1.014886 | Physician/Surgeon | 1971-05-13 | 1997-02-11 - 1998-04-30 | INACTIVE |
| Street Address | 2659 SW VISTA AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kerri A Duggan | 1701 Sw Columbia St., Portland, OR 97201 | Registered Nurse | 2018-02-01 ~ 2019-01-31 |
| Michael Cloke | 100 Sw Market, Portland, OR 97201 | Registered Nurse | 2016-06-01 ~ 2017-06-30 |
| Charles J Conlee | 5916 Sw Kelly Ave, Portland, OR 97201 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Andrea Woodfield | 1300 Sw 5th Ave Suite 3100, Portland, OR 97201 | Certified Public Accountant License | 2007-01-01 ~ 2007-12-31 |
| Dwayne S Richardson | Pricewatehrousecoopers LLP, Portland, OR 97201 | Certified Public Accountant License | 2008-01-01 ~ 2008-12-31 |
| Maureen B Goldring | 2467 Sw Arden Rd, Portland, OR 97201 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Ronald V Gates | Idc, Portland, OR 97201 | Architect | 2003-08-01 ~ 2004-07-31 |
| Julian B Dann | 2640 Sw Patton Rd, Portland, OR 97201-1649 | Emergency Medical Technician | ~ |
| Sandra Iragorri Alix | 2427 Sw Montgomery Dr, Portland, OR 97201-1729 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Stand for Children Inc. | 2121 Sw Broadway Ste 111, Portland, OR 97201-3180 | Public Charity | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 97201 | |||
| City | PORTLAND |
| Zip Code | 97201 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michele Barry Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Barry Rosenberg Md | 236 Dublin Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 1999-01-25 ~ 2000-02-28 |
| Jennifer L Kulp | 10 Barry Rd, Scarsdale, NY 10583-5914 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-24 |
| Barry Kerner | 544 Riverside Ave, Westport, CT 06880-5731 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barry Sarvet Md | 30 School St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1993-03-15 ~ 1995-02-01 |
| Barry Ladizinski | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Barry C Spaulding Md | 60 B Masonic St, Northampton, MA 01060-2036 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L Barry Md | 103 Newtown Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barry Fox Md | 174 Lansdowne Lane, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Richard M Barry | 119 River Rd, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1994-06-13 ~ 1996-07-01 |
Please comment or provide details below to improve the information on BARRY RUSSMAN MD.
| 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).