MARK RUSSAK (Credential# 771368) is licensed (Veterinarian) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARK RUSSAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #47.001141. The credential type is veterinarian. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 9 Iris Way, Berlin, CT 06037-5000. The current status is active.
| Licensee Name | MARK RUSSAK |
| Credential ID | 771368 |
| Credential Number | 47.001141 |
| Credential Type | Veterinarian |
| Business Address |
9 Iris Way Berlin CT 06037-5000 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1976-07-13 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151880 | CSP.0001980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 9 IRIS WAY |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-5000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen T Russak | 9 Iris Way, Berlin, CT 06037-5000 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark E Ludwig | 17 Iris Way, Berlin, CT 06037-5000 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Gary K Cozine Aprn | 3 Iris Way, Berlin, CT 06037-5000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kate Guastella | 1 Iris Way, Kensington, CT 06037-5000 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | BERLIN |
| Zip Code | 06037 |
| License Type | Veterinarian |
| License Type + County | Veterinarian + BERLIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Russak · Russak Restoration | 701 Portland-cobalt Road, Portland, CT 06480 | Home Improvement Contractor | 1994-04-05 ~ 1995-04-01 |
| Russak Restoration LLC | 701 Portland Cobalt Rd, Portland, CT 06480 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Mark Sebetic | P.o. Box 395, Kent, CT 06757 | Veterinarian | 2020-01-01 ~ 2020-12-31 |
| Mark E Henderson | 346 Cty Rt 3, Ancramdale, NY 12503 | Veterinarian | 2020-01-01 ~ 2020-12-31 |
| Mark E Stamoulis | C/o Birkholz & Co, Framingham, MA 01701-4541 | Veterinarian | 2006-08-04 ~ 2007-08-31 |
| Mark E Wade | 100 Riverside Dr, Northampton, MA 01062 | Veterinarian | 1998-12-23 ~ 1999-09-30 |
| Mark J Novotny | Po Box 1972, New London, CT 06320-1972 | Veterinarian | 2009-11-01 ~ 2010-10-31 |
| Mark S Kovacs | Pfizer Inc., Groton, CT 06340 | Veterinarian | 2012-02-01 ~ 2013-01-31 |
| Mark I Feldman | 147 Judith Dr, Stormville, NY 12582-5261 | Veterinarian | 2018-10-01 ~ 2019-09-30 |
| Mark Carlson Dvm | 156 Baker Rd, Roxbury, CT 06783-1318 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MARK RUSSAK.
| 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).