JOSEPH N RUSSO II (Credential# 538463) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 27, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.
JOSEPH N RUSSO II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005247. The credential type is physician/surgeon. The effective date is December 27, 1996. The expiration date is February 28, 1998. The business address is 492 Grand Island Dr, Osterville, MA 02655-2494. The current status is inactive.
| Licensee Name | JOSEPH N RUSSO II |
| Credential ID | 538463 |
| Credential Number | 1.005247 |
| Credential Type | Physician/Surgeon |
| Business Address |
492 Grand Island Dr Osterville MA 02655-2494 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1946-04-01 |
| Effective Date | 1996-12-27 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158711 | CSP.0018041 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 492 GRAND ISLAND DR |
| City | OSTERVILLE |
| State | MA |
| Zip Code | 02655-2494 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Oysterville Vodka LLC · Citrus Distillers | 275 Bridge Street, Osterville, MA 02655 | Out of State Shipper Liquor | 2020-04-10 ~ 2021-04-09 |
| Arthur W Stratton Jr | 150 Garrison Lane, Osterville, MA 02655 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Justin D. Helferich | 54 Curry Lane, Osterville, MA 02655 | Certified Public Accountant License | 2017-01-01 ~ 2017-12-31 |
| Jane E Brajczewski | 99 East Bay Road, Osterville, MA 02655 | Hairdresser/cosmetician | 2007-12-20 ~ 2010-01-31 |
| Mark A Kozma | 155 Wintergreen Circle, Osterville, MA 02655 | Engineer-in-training | ~ |
| John P Lawlor Jr | 134 Milne Rd, Osterville, MA 02655 | Nursing Home Administrator | 1999-03-29 ~ 2000-03-31 |
| Janice Emrich | 40 Swift Ave, Osterville, MA 02655 | Physical Therapist | 1999-09-09 ~ 2000-09-30 |
| Greta A Graff | 920 Main Street, Osterville, MA 02655 | Physical Therapist | 1997-08-07 ~ 1998-10-31 |
| Lois E Swanson | 17 Jonathan's Way, Osterville, MA 02655 | Registered Nurse | 2003-09-18 ~ 2004-10-31 |
| Marie A Fortunato | 143 Bayview Circle, Osterville, MA 02655 | Registered Nurse | 1993-10-25 ~ 1994-10-31 |
| Find all Licenses in zip 02655 | |||
| City | OSTERVILLE |
| Zip Code | 02655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OSTERVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph A Russo Md | 16 Salem View Dr, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| John R Russo Md | 34-l Hermitage Dr, Shelton, CT 06484 | Physician/surgeon | 2008-02-22 ~ 2009-03-31 |
| Carmelo G Russo | 29 Fairway Ave, Delmar, NY 12054 | Physician/surgeon | 1994-02-17 ~ 1995-02-28 |
| Stefani A Russo Md | 178 Lawrence St Apt 2, New Haven, CT 06511-2417 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Rocco Russo Md | 469 Migeon Ave, Torrington, CT 06790-4643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Sandra Russo Ap | 622 West 168th St., Bhn,b-11, New York, NY | Physician/surgeon | 2006-04-07 ~ 2007-04-30 |
| Barbara A Russo | 99 Plymouth Dr N, Glen Head, NY 11545-1126 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Paul E Russo Jr | 414 Westgate Rd, Tarpon Springs, FL 34688 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).