NILS A RUSSELL (Credential# 558496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
NILS A RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040913. The credential type is physician/surgeon. The effective date is October 22, 2002. The expiration date is May 31, 2003. The business address is 15 Fellscrest Road, Essex Fells, NJ 07021. The current status is inactive.
| Licensee Name | NILS A RUSSELL |
| Credential ID | 558496 |
| Credential Number | 1.040913 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Fellscrest Road Essex Fells NJ 07021 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-10-22 |
| Effective Date | 2002-10-22 |
| Expiration Date | 2003-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 15 Fellscrest Road |
| City | Essex Fells |
| State | NJ |
| Zip Code | 07021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael W Maybaum | 99 Avon Dr, Essex Fells, NJ 07021 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Margaret Michele Blackwood | 39 Holton Lane, Essex Fells, NJ 07021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Lisa L Housel · Luther | 33 Park Lane, Essex Fells, NJ 07021 | Registered Nurse | 2000-05-05 ~ 2001-05-31 |
| City | Essex Fells |
| Zip Code | 07021 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Essex Fells |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Henninger | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nils Becker | 2 Middle St, Lexington, MA 02421-7702 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Alan Nils Swartz | 556 Elm St, Windsor Locks, CT 06096-1650 | Physician/surgeon | 1975-03-24 ~ 1981-11-30 |
| Nils Anderson | 2111 Sprucewood Lane, Lindenhurst, IL 60046 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
| Nils Mueller | 11760 Bird Road, Miami, FL 33175 | Physician/surgeon | 2016-09-01 ~ 2017-09-30 |
| 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 |
| Nils A Loewen · Lab of Nils A Loewen Md Phd | 40 Temple St Ste 3d, New Haven, CT 06510-2715 | Controlled Substance Laboratory | 2012-02-01 ~ 2013-01-31 |
| 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 |
Please comment or provide details below to improve the information on NILS A RUSSELL.
| 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).