JOHN R RUSSO MD (Credential# 538633) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 22, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.
JOHN R RUSSO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006234. The credential type is physician/surgeon. The effective date is February 22, 2008. The expiration date is March 31, 2009. The business address is 34-l Hermitage Dr, Shelton, CT 06484. The current status is inactive.
| Licensee Name | JOHN R RUSSO MD |
| Credential ID | 538633 |
| Credential Number | 1.006234 |
| Credential Type | Physician/Surgeon |
| Business Address |
34-l Hermitage Dr Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1949-08-19 |
| Effective Date | 2008-02-22 |
| Expiration Date | 2009-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152057 | CSP.0002104 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 34-L HERMITAGE DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefani A Russo Md | 178 Lawrence St Apt 2, New Haven, CT 06511-2417 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rocco Russo Md | 469 Migeon Ave, Torrington, CT 06790-4643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carmelo G Russo | 29 Fairway Ave, Delmar, NY 12054 | Physician/surgeon | 1994-02-17 ~ 1995-02-28 |
| Joseph N Russo II | 492 Grand Island Dr, Osterville, MA 02655-2494 | Physician/surgeon | 1996-12-27 ~ 1998-02-28 |
| Joseph A Russo Md | 16 Salem View Dr, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul E Russo Jr | 414 Westgate Rd, Tarpon Springs, FL 34688 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sandra Russo Ap | 622 West 168th St., Bhn,b-11, New York, NY | Physician/surgeon | 2006-04-07 ~ 2007-04-30 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Barbara A Russo | 99 Plymouth Dr N, Glen Head, NY 11545-1126 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Please comment or provide details below to improve the information on JOHN R RUSSO 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).