RAYMOND R RUSSELL III (Credential# 556498) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.
RAYMOND R RUSSELL III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038910. The credential type is physician/surgeon. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 333 Cedar St # 3, New Haven, CT 06510-3206. The current status is inactive.
Licensee Name | RAYMOND R RUSSELL III |
Credential ID | 556498 |
Credential Number | 1.038910 |
Credential Type | Physician/Surgeon |
Business Address |
333 Cedar St # 3 New Haven CT 06510-3206 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2000-08-01 |
Effective Date | 2017-06-01 |
Expiration Date | 2018-05-31 |
Refresh Date | 2018-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
242593 | CSP.0029957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 333 CEDAR ST # 3 |
City | NEW HAVEN |
State | CT |
Zip Code | 06510-3206 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marcus Bosenberg | 15 York Street Lmp5031, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
James L Boyer | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Leina S Alrabadi | 333 Cedar St Lmp 4093, New Haven, CT 06510-3206 | Resident Physician | 2015-06-25 ~ 2021-06-30 |
Dahlia Townsend | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Kristina Ann Fanucci | 333 Cedar St Rm Www, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Paul A Cedeno | 333 Cedar St # Te-2, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jane Coffin Childs Memorial Fund for Medical Research | 333 Cedar St # Smml300mc191, New Haven, CT 06510-3206 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Qingbing Zhu Md | 333 Cedar St # Tmp3, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Leonel Rodriguez | 333 Cedar St Lmp 4100, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06510-3206 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06510 |
City | NEW HAVEN |
Zip Code | 06510 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond J Anton Md | Raymond J. Anton, M.d., Russell, MA 01071 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Russell F Turk Md | Stamford Health Russell Turk, Md, Riverside, CT 06878 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Russell Raymond Otto | 140 Arbutus Street, Middletown, CT 06457 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Russell W Robertson | Po Box 234, Dublin, NH 03444-0234 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Lea A Bonifacio | 416 Bluebird Drive, Russell, KY 41169 | Physician/surgeon | 2005-12-06 ~ 2007-01-31 |
Russell L Tuverson | 8 Saw Mill Rd, Burlington, CT 06013 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kerry S Russell | 103 Fox Rd Unit 612, Waltham, MA 02451-0206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Russell A Chiappetta | 137 Walkley Dr, Southington, CT 06489-2249 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).