JOHN C RUSSELL (Credential# 542742) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
JOHN C RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018280. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 9500 Augusta Ne, Albuquerque, NM 87111. The current status is active.
Licensee Name | JOHN C RUSSELL |
Credential ID | 542742 |
Credential Number | 1.018280 |
Credential Type | Physician/Surgeon |
Business Address |
9500 Augusta Ne Albuquerque NM 87111 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1976-11-09 |
Effective Date | 2019-04-01 |
Expiration Date | 2020-03-31 |
Refresh Date | 2019-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155276 | CSP.0016173 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 9500 AUGUSTA NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87111 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Trisha L Sloan | 4928 Arroyo Chamisa Road Ne, Albuquerque, NM 87111 | Marital and Family Therapist | 2020-08-01 ~ 2021-07-31 |
Sasan Ghaffarigarakani | 6350 Eubank Blvd Ne, Albuquerque, NM 87111 | Dentist | 2019-08-01 ~ 2020-07-31 |
Amber G Brackett | 3013 Casa Del Norte Drive Ne, Albuquerque, NM 87111 | Radiographer | 2018-03-01 ~ 2019-02-28 |
Trang M Tran Md | 3515 Agua Sarca Ct Ne, Albuquerque, NM 87111 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Vicky L Watt | 6205 Abiquiu Pl Ne, Albuquerque, NM 87111 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
Brenda O Quimada | 8401 Spain Rd Gardens Apt 9c, Albuquerque, NM 87111 | Registered Nurse | 2016-02-01 ~ 2017-02-28 |
Fahad M Khan | 9500 Osuna Road Ne, Albuquerque, NM 87111 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jim J Kapuranis | 3240-c Juan Tabo, Albuquerque, NM 87111 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
Stanton Craig Sanchez | 3500 Embudito N E, Albuquerque, NM 87111 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
Peter K Kay | 7313 Mayflower Rd Ne, Albuquerque, NM 87111 | Registered Nurse | 2009-11-01 ~ 2010-01-31 |
Find all Licenses in zip 87111 |
City | ALBUQUERQUE |
Zip Code | 87111 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ALBUQUERQUE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell F Turk Md | Stamford Health Russell Turk, Md, Riverside, CT 06878 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Russell W Robertson | Po Box 234, Dublin, NH 03444-0234 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Russell L Tuverson | 8 Saw Mill Rd, Burlington, CT 06013 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mark Quigley Md | 437 Russell Ave, Suffield, CT 06078 | Physician/surgeon | 1997-02-13 ~ 1998-04-30 |
Stefan Mansourian | 44 Russell Ave, Orange, CT 06477 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Raymond R Russell IIi | 333 Cedar St # 3, New Haven, CT 06510-3206 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Russell A Chiappetta | 137 Walkley Dr, Southington, CT 06489-2249 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell Aaron Van Maele | 300 Portage St, Kalamazoo, MI 49007-4929 | Physician/surgeon | ~ |
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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).