NOREEN C RUSSO
Controlled Substance Registration for Practitioner


Address: 10 Deerfield Dr, Sandy Hook, CT 06482-1305

NOREEN C RUSSO (Credential# 474125) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

NOREEN C RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041636. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 10 Deerfield Dr, Sandy Hook, CT 06482-1305. The current status is lapsed.

Basic Information

Licensee Name NOREEN C RUSSO
Credential ID 474125
Credential Number CSP.0041636
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Deerfield Dr
Sandy Hook
CT 06482-1305
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2007-07-13
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
743670 23.001921 Physician Assistant 2007-07-02 2016-11-01 - 2017-10-31 INACTIVE

Office Location

Street Address 10 DEERFIELD DR
City SANDY HOOK
State CT
Zip Code 06482-1305

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Competitor

Search similar business entities

City SANDY HOOK
Zip Code 06482
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SANDY HOOK

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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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