JACQUELINE M RUSSELL (Credential# 2058426) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
JACQUELINE M RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066286-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 127b Dog Lane, Mansfield, CT 06268. The current status is active.
Licensee Name | JACQUELINE M RUSSELL |
Credential ID | 2058426 |
Credential Number | 1.066286-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
127b Dog Lane Mansfield CT 06268 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-07-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2023-06-30 |
Refresh Date | 2020-06-23 |
Street Address | 127B Dog Lane |
City | Mansfield |
State | CT |
Zip Code | 06268 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
Kathleen M Hawkins | 79 Browns Road, Storrs, CT 06268 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06268 |
City | Mansfield |
Zip Code | 06268 |
License Type | Resident Physician |
License Type + County | Resident Physician + Mansfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell Rosenberg | 789 Howard Ave, New Haven, CT 06519-1304 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Russell Shepherd Lewis, Jr. | 129 York St Apt 7h, New Haven, CT 06511-5606 | Resident Physician | 2019-07-03 ~ 2021-06-30 |
Russell M Levine | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Hannah Nikkole Russell | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-09-01 ~ 2018-06-30 |
Jacqueline R Fleuriscar | 263 Farmington Ave # Lm068, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Jacqueline Russell | 504 Horse Pond Road, Madison, CT 06443 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Jacqueline H Russell | 5 Thistle Down Lane, Naugatuck, CT 06770 | Home Improvement Salesperson | 2011-12-01 ~ 2012-11-30 |
Jacqueline May Russell | 5235 Post Rd Apt 6e, Bronx, NY 10471-3041 | Controlled Substance Registration for Practitioner | ~ |
Jacqueline Russell | 25 Donna Drive, New Haven, CT 06513 | Master's Level Social Worker | 2019-05-01 ~ 2020-04-30 |
Jacqueline Mccauley · Sanders Gale & Russell | 19 Spring St, Bristol, CT 06010-5048 | Shorthand Court Reporter | 2017-01-01 ~ 2017-12-31 |
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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).