JACQUELINE M RUSSELL
Resident Physician


Address: 127b Dog Lane, Mansfield, CT 06268

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 127B Dog Lane
City Mansfield
State CT
Zip Code 06268

Licenses in the same zip code

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

Competitor

Search similar business entities

City Mansfield
Zip Code 06268
License Type Resident Physician
License Type + County Resident Physician + Mansfield

Similar businesses

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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Dataset Information

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).

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