BARBARA A RUSSO (Credential# 556632) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
BARBARA A RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039044. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 99 Plymouth Dr N, Glen Head, NY 11545-1126. The current status is inactive.
| Licensee Name | BARBARA A RUSSO |
| Credential ID | 556632 |
| Credential Number | 1.039044 |
| Credential Type | Physician/Surgeon |
| Business Address |
99 Plymouth Dr N Glen Head NY 11545-1126 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-10-03 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Russo | 6-b Townhouse Rd, Broadbrook, CT 06016 | Real Estate Salesperson | 2007-06-26 ~ 2008-05-31 |
| Street Address | 99 PLYMOUTH DR N |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Panagiotis Koklanos | 96 Plymouth Dr N, Glen Head, NY 11545 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Allison R Aikman | 21 Beechwood Drive, Glen Head, NY 11545 | Notary Public Appointment | 2016-07-22 ~ 2021-07-31 |
| Jane S Fagan | 136 High Farms Road, Glen Head, NY 11545 | Notary Public Appointment | 2005-12-05 ~ 2010-12-31 |
| Banfi Products Corp | 1111 Cedar Swamp Rd, Old Brookville, NY 11545 | Out of State Shipper Liquor | 2019-10-11 ~ 2020-10-10 |
| Suraj Rambhia | 3 Bridle Path Court, Glen Head, NY 11545 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard B Serchuk | 5 Valentines Lane, Old Brookville, NY 11545 | Dentist | 2019-06-01 ~ 2020-05-31 |
| Kevin Basham | 99 Plymouth Dr. North, Glen Head, NY 11545 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| John A Notaro | 1005 Glen Cove Ave, Glen Head, NY 11545 | Architect | 2016-08-01 ~ 2017-07-31 |
| Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Michael Haratunian | 1 Salem Way, Glen Head, NY 11545 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 11545 | |||
| City | GLEN HEAD |
| Zip Code | 11545 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLEN HEAD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Russo Md | 34-l Hermitage Dr, Shelton, CT 06484 | Physician/surgeon | 2008-02-22 ~ 2009-03-31 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stefani A Russo Md | 178 Lawrence St Apt 2, New Haven, CT 06511-2417 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Carmelo G Russo | 29 Fairway Ave, Delmar, NY 12054 | Physician/surgeon | 1994-02-17 ~ 1995-02-28 |
| Rocco Russo Md | 469 Migeon Ave, Torrington, CT 06790-4643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Paul E Russo Jr | 414 Westgate Rd, Tarpon Springs, FL 34688 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sandra Russo Ap | 622 West 168th St., Bhn,b-11, New York, NY | Physician/surgeon | 2006-04-07 ~ 2007-04-30 |
| Joseph A Russo Md | 16 Salem View Dr, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Joseph N Russo II | 492 Grand Island Dr, Osterville, MA 02655-2494 | Physician/surgeon | 1996-12-27 ~ 1998-02-28 |
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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).