CHRISTOPHER RYAN RUSSO (Credential# 2021179) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTOPHER RYAN RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073437. The credential type is controlled substance registration for practitioner. The effective date is March 27, 2020. The expiration date is February 28, 2021. The business address is 300 Stafford St Ste 154, Springfield, MA 01104-3583. The current status is active.
| Licensee Name | CHRISTOPHER RYAN RUSSO |
| Credential ID | 2021179 |
| Credential Number | CSP.0073437 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
300 Stafford St Ste 154 Springfield MA 01104-3583 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-27 |
| Effective Date | 2020-03-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1789933 | 1.064986 | Physician/Surgeon | 2020-03-06 | 2020-03-06 - 2020-08-31 | ACTIVE |
| Street Address | 300 STAFFORD ST STE 154 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3583 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John P Marenco | 300 Stafford St Ste 154, Springfield, MA 01104-3583 | Controlled Substance Registration for Practitioner | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
| Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
| Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
| Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
| Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
| Find all Licenses in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| 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 |
| Christopher Ryan Birdsell | 3512 Sw Huntoon St, Topeka, KS 66604-1748 | Controlled Substance Registration for Practitioner | 2019-06-14 ~ 2021-02-28 |
| Christopher Ryan Ursillo | 16 Drury Lane, West Hartford, CT 06117 | 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 |
| Anna Russo | 110 Lawnwood Ave, Longmeadow, MA 01106-3021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony J Russo Dds | 85 Prospect St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Justin M Russo | 64 Addison Rd Apt 102, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Suzanne Russo | 424 Judson Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2001-03-29 ~ 2002-02-28 |
| Nicolas J Pulham | 290 Russo Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on CHRISTOPHER RYAN RUSSO.
| 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).