ALAN D RUSSAKOV
Physician/surgeon


Address: 2700 Three Mile Lane, Mcminnville, OR 97128

ALAN D RUSSAKOV (Credential# 545829) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 16, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.

Business Overview

ALAN D RUSSAKOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026124. The credential type is physician/surgeon. The effective date is May 16, 2000. The expiration date is May 31, 2001. The business address is 2700 Three Mile Lane, Mcminnville, OR 97128. The current status is inactive.

Basic Information

Licensee Name ALAN D RUSSAKOV
Credential ID 545829
Credential Number 1.026124
Credential Type Physician/Surgeon
Business Address 2700 Three Mile Lane
Mcminnville
OR 97128
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-01-30
Effective Date 2000-05-16
Expiration Date 2001-05-31
Refresh Date 2009-07-08

Office Location

Street Address 2700 Three Mile Lane
City McMinnville
State OR
Zip Code 97128

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Maysara Winery LLC · Maysara Winery 2083 Ne Colvin Court, Mcminnville, OR 97128 Out of State Winery 2019-07-25 ~ 2020-07-24
Hazelwood Farms Bakeries 2803 Orchard Ave, Mcminnville, OR 97128 Bakery 1999-08-04 ~ 2000-06-30
Ann Sharon Ryan 1602 Ne Riverside Dr, Mcminnville, OR 97128 Registered Nurse 2015-08-01 ~ 2016-07-31
Evergreen Agricultural Enterprises Inc 3850 Three Mile Lane, Mcminnville, OR 97128 Out of State Shipper Liquor 2007-09-14 ~ 2008-09-13
Stone Wolf Vineyards Inc · Wolf Vineyards 105 West 3rd Street, Mcminnville, OR 97128 Out of State Winery 2002-05-24 ~ 2003-05-23
Panther Creek Company 455 North Irvine, Mcminnville, OR 97128 Out of State Winery 2004-09-30 ~ 2005-09-29
Jean Ann Warden 1301 Ne Highway 99w # 106, Mcminnville, OR 97128-2722 Registered Nurse - Temporary 2009-07-16 ~ 2009-11-13
Shane L Ellsworth Dmd 704 Ne Evans St, Mcminnville, OR 97128-3926 Dentist 2010-09-01 ~ 2011-08-31
D & D Vineyards Inc · The Eyrie Vineyards 935 Ne 10th Ave, Mcminnville, OR 97128-4003 Out of State Shipper Liquor 2020-02-23 ~ 2021-02-22
A & D Wine Co · Westrey Wine Company 1065 Ne Alpine Ave, Mcminnville, OR 97128-4013 Out of State Winery 2014-06-06 ~ 2015-06-05
Find all Licenses in zip 97128

Competitor

Search similar business entities

City McMinnville
Zip Code 97128
License Type Physician/Surgeon
License Type + County Physician/Surgeon + McMinnville

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Alan D Haber 439 Central Ave, New Haven, CT 06515 Physician/surgeon 1992-12-22 ~ 1993-12-31
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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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