JOSEPH A RUSSO MD (Credential# 559150) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JOSEPH A RUSSO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041567. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 16 Salem View Dr, Ridgefield, CT 06877. The current status is active.
| Licensee Name | JOSEPH A RUSSO MD |
| Credential ID | 559150 |
| Credential Number | 1.041567 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Salem View Dr Ridgefield CT 06877 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-06-19 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1231761 | CSP.0057664 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 344185 | CSP.0033831 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-22 - 2013-02-28 | INACTIVE |
| Street Address | 16 SALEM VIEW DR |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph N Russo II | 492 Grand Island Dr, Osterville, MA 02655-2494 | Physician/surgeon | 1996-12-27 ~ 1998-02-28 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| John R Russo Md | 34-l Hermitage Dr, Shelton, CT 06484 | Physician/surgeon | 2008-02-22 ~ 2009-03-31 |
| Carmelo G Russo | 29 Fairway Ave, Delmar, NY 12054 | Physician/surgeon | 1994-02-17 ~ 1995-02-28 |
| Stefani A Russo Md | 178 Lawrence St Apt 2, New Haven, CT 06511-2417 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Rocco Russo Md | 469 Migeon Ave, Torrington, CT 06790-4643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Sandra Russo Ap | 622 West 168th St., Bhn,b-11, New York, NY | Physician/surgeon | 2006-04-07 ~ 2007-04-30 |
| Barbara A Russo | 99 Plymouth Dr N, Glen Head, NY 11545-1126 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Paul E Russo Jr | 414 Westgate Rd, Tarpon Springs, FL 34688 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).