WARREN K RUSSELL
Physician/surgeon


Address: 10 Coriander Lane, North Kingston, RI 02852

WARREN K RUSSELL (Credential# 557811) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.

Business Overview

WARREN K RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040228. The credential type is physician/surgeon. The effective date is December 1, 2013. The expiration date is November 30, 2014. The business address is 10 Coriander Lane, North Kingston, RI 02852. The current status is inactive.

Basic Information

Licensee Name WARREN K RUSSELL
Credential ID 557811
Credential Number 1.040228
Credential Type Physician/Surgeon
Business Address 10 Coriander Lane
North Kingston
RI 02852
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-03-07
Effective Date 2013-12-01
Expiration Date 2014-11-30
Refresh Date 2015-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
306276 CSP.0032006 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-22 - 2003-02-28 INACTIVE

Office Location

Street Address 10 CORIANDER LANE
City NORTH KINGSTON
State RI
Zip Code 02852

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Jonathan S Lowenstein 133 Georgia Ave, N Kingstown, RI 02852 Architect 2020-08-01 ~ 2021-07-31
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Diane C Gannon 392 Butternut Drive, North Kingstown, RI 02852 Physical Therapist 2020-07-01 ~ 2021-06-30
Kristina Liz Sullivan 288 South County Trail, North Kingstown, RI 02852 Registered Nurse 2020-06-01 ~ 2021-05-31
John J Chapski 72 Seawynds Drive, North Kingstown, RI 02852 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
John Alexander Nosach 8 Robin Drive, North Kingstown, RI 02852 Registered Nurse 2020-06-01 ~ 2021-05-31
Paul Michael Eilert 30 Old Switch Road, Hope Valley, RI 02852 Casino Class I Employee 2020-04-22 ~ 2020-10-31
Ashley R Folgo 1130 Ten Rod Road, North Kingstown, RI 02852 Registered Nurse 2020-05-01 ~ 2021-04-30
Michael A. Aho 165 Signal Rock Drive, No. Kingstown, RI 02852 Crane Operator 2018-04-13 ~ 2020-04-12
Amy L Snyder 31 Pojac Point Road, North Kingstown, RI 02852 Physician/surgeon 2020-03-01 ~ 2021-02-28
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City NORTH KINGSTON
Zip Code 02852
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORTH KINGSTON

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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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