CONCETTA M RUSSELL (Credential# 742037) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2006. The license expiration date date is July 31, 2007. The license status is INACTIVE.
CONCETTA M RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000288. The credential type is physician assistant. The effective date is July 7, 2006. The expiration date is July 31, 2007. The business address is 44 Granite Drive, Penfield, NY 14526. The current status is inactive.
| Licensee Name | CONCETTA M RUSSELL |
| Doing Business As | VELLA |
| Credential ID | 742037 |
| Credential Number | 23.000288 |
| Credential Type | Physician Assistant |
| Business Address |
44 Granite Drive Penfield NY 14526 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-29 |
| Effective Date | 2006-07-07 |
| Expiration Date | 2007-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 44 GRANITE DRIVE |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Holly M Walter | 57 Helmsford Way, Penfield, NY 14526 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Timothy M Mclaughlin | 75 Henderson Drive, Penfield, NY 14526 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Joseph A Fery | 58 Helmsford Way, Penfield, NY 14526 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| John P Stroczkowski | 28 Lake Oak Cir, Penfield, NY 14526 | Professional Engineer | 1991-02-21 ~ 1992-01-31 |
| Cynthia A Bouchard | 1143 Northrup Rd, Penfield, NY 14526 | Registered Nurse | 2001-11-15 ~ 2002-07-31 |
| Barbara M Hagen · Mclaughlin | 20 Thomlinson Cir, Penfield, NY 14526 | Speech and Language Pathologist | 1999-03-04 ~ 2000-02-29 |
| Joanne M Robinson | 55 Brougham Drive, Penfield, NY 14526 | Registered Nurse | 2005-11-08 ~ 2006-09-30 |
| Angelo J Saladino | 68 Arrowhead Lane, Penfield, NY 14526 | Radiographer | 2007-03-19 ~ 2007-12-31 |
| John C Dolan | 41 Meadowview Drive, Penfield, NY 14526 | Psychologist | 1994-12-27 ~ 1995-12-31 |
| Mary J Kelemen · Bossidy | 17 Royal Birkdale Ct, Penfield, NY 14526 | Registered Nurse | 2006-07-10 ~ 2007-08-31 |
| Find all Licenses in zip 14526 | |||
| City | PENFIELD |
| Zip Code | 14526 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth Degarmo | 328 Russell St Apt 2, Madison, WI 53704-5313 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Stephen J Burgess Pa | 218 Russell Street, Hadley, MA 01035 | Physician Assistant | 1998-09-08 ~ 1999-09-30 |
| Marybeth S Markham | 700 Russell Road, Westfield, MA 01085 | Physician Assistant | 2000-06-06 ~ 2000-08-31 |
| Julie Brooke Forster | 5 Russell Rd, Cromwell, CT 06416-2470 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Russell Longendorfer | 8 Alana Drive, Sutton, MA 01590 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Russell Raymond Otto | 140 Arbutus Street, Middletown, CT 06457 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Concetta Groux | 630 Beechmont Avenue, Bridgeport, CT 06606 | Family Child Care Assistant | 2002-12-04 ~ 2004-12-31 |
| Concetta's Restaurant | 12a Mountain Ave, Bloomfield, CT 06002-2339 | Bakery | 2015-07-20 ~ 2016-06-30 |
| Concetta's Italian Restaurant · Prevalla Inc Dba | 12-a Mountain Ave, Bloomfield, CT 06002 | Bakery | ~ 1996-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on CONCETTA M 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).