GLENN S RUSSO (Credential# 1075897) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GLENN S RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052546. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 123 York Street, New Haven, CT 06511. The current status is active.
| Licensee Name | GLENN S RUSSO |
| Credential ID | 1075897 |
| Credential Number | CSP.0052546 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
123 York Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| Street Address | 123 York Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin M Waters | 123 York Street, New Haven, CT 06511-5454 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Parsa P Salehi | 123 York Street, New Haven, CT 06511 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Anuradha R Kar | 123 York Street, New Haven, CT 06511 | Resident Physician | 2014-06-25 ~ 2021-06-30 |
| John F Parnoff Dmd | 123 York Street, New Haven, CT 06511 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Gordon K Sze | 123 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Yiming King Dmd | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul A Wontroski | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachel Schrier | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine E Flynn | 123 York Street, New Haven, CT 06511 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Krithi Irmady | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Russo | 118 Bridgewater Dr, Avon, CT 06001-4404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert D Russo Jr | P.o.box 6128, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter D Russo Dmd | 53 Montowese St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin M Russo | 64 Addison Rd Apt 102, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anthony J Russo Dds | 85 Prospect St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Suzanne Russo | 424 Judson Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2001-03-29 ~ 2002-02-28 |
| Anna Russo | 110 Lawnwood Ave, Longmeadow, MA 01106-3021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tanya L Glenn | 39 Church St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-02-14 ~ 2021-02-28 |
| Glenn M Siegel Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glenn M Dizon | 6 Germantown Rd, Danbury, CT 06810-5027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).