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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
306276 | CSP.0032006 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-22 - 2003-02-28 | INACTIVE |
Street Address | 10 CORIANDER LANE |
City | NORTH KINGSTON |
State | RI |
Zip Code | 02852 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan S Lowenstein | 133 Georgia Ave, N Kingstown, RI 02852 | Architect | 2020-08-01 ~ 2021-07-31 |
Kathleen E Donovan | 825 Tower Hill Rd, North Kingstown, RI 02852 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
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 |
Find all Licenses in zip 02852 |
City | NORTH KINGSTON |
Zip Code | 02852 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NORTH KINGSTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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 |
Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Warren M Levin Md | Po Box 770, Wilton, CT 06897-3122 | Physician/surgeon | 2003-07-07 ~ 2004-08-31 |
Changzheng Wang | 4 Hickory Ln, Warren, NJ 07059-2602 | Physician/surgeon | ~ |
James Patrick Rielly | 11 Almeida Dr, Warren, RI 02885-2901 | Physician/surgeon | ~ |
Wojciech Ratajczak | 563 Warren St Apt 3r, Brooklyn, NY 11217-2746 | Physician/surgeon | 2010-07-21 ~ 2011-04-30 |
David Warren Doo | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Warren R Pistey Md Phd | 645 Redding Rd, Fairfield, CT 06824 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
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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).