RUSSELL R JAICKS (Credential# 161372) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
RUSSELL R JAICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023386. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 514 H So Dargan St, Florence, SC 29501. The current status is inactive.
| Licensee Name | RUSSELL R JAICKS |
| Credential ID | 161372 |
| Credential Number | CSP.0023386 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
514 H So Dargan St Florence SC 29501 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-03-01 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552187 | 1.034591 | Physician/Surgeon | 1995-06-23 | 1996-01-29 - 1997-01-31 | INACTIVE |
| Street Address | 514 H SO DARGAN ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ginger Kennedy | 2731 W Ridgecrest Cir, Florence, SC 29501 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Delores J Linnen | 2313 Widgeon Drive, Florence, SC 29501 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Karen Phillips Bateman | 743 Coventry Ln, Apt A4, Florence, SC 29501 | Registered Nurse | 2019-07-25 ~ 2020-07-31 |
| Equip Studio Inc | 102 W. Evans St, Florence, SC 29501 | Architecture Corporation | ~ |
| Karen Brown Johnson | 2110 Warner Street, Florence, SC 29501 | Registered Nurse | 2016-08-02 ~ 2017-07-31 |
| Joyce Lea Freeman | 4047 W. Pelican Lane, Florence, SC 29501 | Registered Nurse - Temporary | 2015-11-25 ~ 2016-03-23 |
| Lynn E Strock | 1031 Mockingbird Cir, Florence, SC 29501 | Professional Engineer | 1993-03-26 ~ 1994-01-31 |
| Cevyn J Meyer | P.o. Box 100520, Florence, SC 29501 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Stephen G Erceg | 2013 2nd Loop Rd, Florence, SC 29501 | Physical Therapist | 1999-10-26 ~ 2000-10-31 |
| Mary K Nickel | 3402 Stockton Dr, Florence, SC 29501 | Advanced Practice Registered Nurse | 2006-07-03 ~ 2007-06-30 |
| Find all Licenses in zip 29501 | |||
| City | FLORENCE |
| Zip Code | 29501 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FLORENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell O Gee Jr | 73 Cedar St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Bruce R Little Md | 28 Russell St, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 1997-03-18 ~ 1998-02-28 |
| Amy Sue Koers | 601 Carr Ln, Russell, PA 16345-6125 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley B Saber | 43 Russell St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Victoria M Olson Dvm | 701 Russell Rd # B, Newington, CT 06111-1527 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Russell W Robertson Md | 85 Seymour St Ste 519, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Marsha Y Russell Md | 20 Leslie Rd, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2004-10-20 ~ 2005-02-28 |
| Michael Reiss Md | 231 Russell Rd, Princeton, NJ 08540 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michael B Russell | 111 Park St Apt 9r, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Natalie Lourenco Pa | 103 Russell Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on RUSSELL R JAICKS.
| 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).