GREGORY K RUSSO (Credential# 561203) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
GREGORY K RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043621. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 67 Lords Hwy, Weston, CT 06883-1714. The current status is active.
| Licensee Name | GREGORY K RUSSO |
| Credential ID | 561203 |
| Credential Number | 1.043621 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Lords Hwy Weston CT 06883-1714 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 378906 | CSP.0035643 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 67 LORDS HWY |
| City | WESTON |
| State | CT |
| Zip Code | 06883-1714 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefani A Russo Md | 178 Lawrence St Apt 2, New Haven, CT 06511-2417 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| John R Russo Md | 34-l Hermitage Dr, Shelton, CT 06484 | Physician/surgeon | 2008-02-22 ~ 2009-03-31 |
| Rocco Russo Md | 469 Migeon Ave, Torrington, CT 06790-4643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carmelo G Russo | 29 Fairway Ave, Delmar, NY 12054 | Physician/surgeon | 1994-02-17 ~ 1995-02-28 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Joseph A Russo Md | 16 Salem View Dr, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph N Russo II | 492 Grand Island Dr, Osterville, MA 02655-2494 | Physician/surgeon | 1996-12-27 ~ 1998-02-28 |
| Sandra Russo Ap | 622 West 168th St., Bhn,b-11, New York, NY | Physician/surgeon | 2006-04-07 ~ 2007-04-30 |
| Paul E Russo Jr | 414 Westgate Rd, Tarpon Springs, FL 34688 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Barbara A Russo | 99 Plymouth Dr N, Glen Head, NY 11545-1126 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Please comment or provide details below to improve the information on GREGORY K RUSSO.
| 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).