REBECCA L RUSSO (Credential# 1245860) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
REBECCA L RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005951. The credential type is advanced practice registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 93 Dog Hill Rd, Dayville, CT 06241-2108. The current status is active.
Licensee Name | REBECCA L RUSSO |
Credential ID | 1245860 |
Credential Number | 12.005951 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
93 Dog Hill Rd Dayville CT 06241-2108 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-10-14 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
592010 | 10.088008 | Registered Nurse | 2009-02-19 | 2020-08-01 - 2021-07-31 | ACTIVE |
1250419 | CSP.0058887 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
910553 | 10.092187-TEMP | Registered Nurse - Temporary | 2010-01-12 | 2010-01-12 - 2010-05-12 | INACTIVE |
Street Address | 93 DOG HILL RD |
City | DAYVILLE |
State | CT |
Zip Code | 06241-2108 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Russo Jr. | 93 Dog Hill Rd, Dayville, CT 06241-2108 | Paramedic | 2020-02-01 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erika L Higgins | 56 Philip Lane, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Chrystina Mary Pelletier | 27 Huntley Rd, Dayville, CT 06241 | Esthetician | ~ |
Elaine Marie Gazzola | 131 Lake Road, Dayville, CT 06241 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Michelle Pepin | 239 Hartford Pike, Dayville, CT 06241 | Medication Administration Certification | 2020-06-09 ~ 2022-06-08 |
Kelly Belanger · Donovan | 61 Pleasant View Dr, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Neysha Larkin | 323 Coomer Hill Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
Michael Phillips | 94 Mason Hill Rd, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Vy Nguyen | 31 Ware Rd, Dayville, CT 06241 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Melissa L Seiffert · Theroux Gaudette | 59 Stone Road, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Cristie Mitchell | 479 Valley Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
Find all Licenses in zip 06241 |
City | DAYVILLE |
Zip Code | 06241 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + DAYVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Phyllis Russo | 4320 Mistlethrush Ln, Naples, FL 34119 | Advanced Practice Registered Nurse | 1999-06-07 ~ 2000-06-30 |
Rebecca A Bennett | 8 Partridge Ln, Madison, CT 06443-1949 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Rebecca M Wirtz | 178 9th St E Ste 300, Saint Paul, MN 55101-2317 | Advanced Practice Registered Nurse | 2014-09-01 ~ 2015-08-31 |
Rebecca A Tvardzik | 121 Elliott Road, Trumbull, CT 06611 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Rebecca Zack Callahan | 14 E 90th St Apt 9d, New York, NY 10128-0671 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Rebecca Bakyta | 513 Wood Road, Mahopac, NY 10541 | Advanced Practice Registered Nurse | 2000-11-20 ~ 2001-12-31 |
Rebecca A Chanda | 10619 Aspen Highlands Dr, Spotsylvania, VA 22553 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Sarah Rebecca Stacey | 447 County Route 68, Saratoga Springs, NY 12866-6636 | Advanced Practice Registered Nurse | ~ |
Rebecca Jo Light | 3822 Alpine Aster, San Antonio, TX 78259-2274 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Rebecca L. Tallarita | 3306 Maple Tree Ln, East Lyme, CT 06333-1686 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
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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).