DONNA L RUSSELL APRN
Controlled Substance Registration for Practitioner


Address: 6 E Applewood Dr, Charlton, MA 01507-1600

DONNA L RUSSELL APRN (Credential# 529485) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

DONNA L RUSSELL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045342. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2009. The expiration date is February 28, 2011. The business address is 6 E Applewood Dr, Charlton, MA 01507-1600. The current status is inactive.

Basic Information

Licensee Name DONNA L RUSSELL APRN
Credential ID 529485
Credential Number CSP.0045342
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 E Applewood Dr
Charlton
MA 01507-1600
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-08
Effective Date 2009-04-08
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
567676 10.063666 Registered Nurse 2000-06-19 2009-09-01 - 2010-08-31 INACTIVE
682210 12.004032 Advanced Practice Registered Nurse 2009-02-18 2009-09-01 - 2010-08-31 INACTIVE

Office Location

Street Address 6 E APPLEWOOD DR
City CHARLTON
State MA
Zip Code 01507-1600

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Competitor

Search similar business entities

City CHARLTON
Zip Code 01507
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHARLTON

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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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