ANNEMARIE I RUSSELL MD
Controlled Substance Registration for Practitioner


Address: 165 State Street, New London, CT 06320

ANNEMARIE I RUSSELL MD (Credential# 198951) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

ANNEMARIE I RUSSELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027582. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 165 State Street, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name ANNEMARIE I RUSSELL MD
Credential ID 198951
Credential Number CSP.0027582
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 165 State Street
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
554860 1.037270 Physician/Surgeon 1998-09-25 - 1999-05-31 INACTIVE

Office Location

Street Address 165 STATE STREET
City NEW LONDON
State CT
Zip Code 06320

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Competitor

Search similar business entities

City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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