STEPHANIE J KRUSZ
Physician/surgeon


Address: 750 Reservoir Ave, Cranston, RI 02910

STEPHANIE J KRUSZ (Credential# 561306) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

STEPHANIE J KRUSZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043724. The credential type is physician/surgeon. The effective date is March 29, 2007. The expiration date is May 31, 2008. The business address is 750 Reservoir Ave, Cranston, RI 02910. The current status is inactive.

Basic Information

Licensee Name STEPHANIE J KRUSZ
Credential ID 561306
Credential Number 1.043724
Credential Type Physician/Surgeon
Business Address 750 Reservoir Ave
Cranston
RI 02910
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-08-09
Effective Date 2007-03-29
Expiration Date 2008-05-31
Refresh Date 2009-07-08

Office Location

Street Address 750 Reservoir Ave
City Cranston
State RI
Zip Code 02910

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Licensee Name Office Address Credential Effective / Expiration
Mark Saccoccio C/o Saccoccio & Associates Inc, Cranston, RI 02910 Architect 2020-08-01 ~ 2021-07-31
Adesola R Ososanwo 149 Woodbine St, Cranston, RI 02910 Pharmacy Technician 2016-10-03 ~ 2017-03-31
Mike Xayvongsa 131 Carman St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Pedro J Pena 80 Norfolk St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Edward C Flori 95 Legion Way, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Cuimei Zhou 13 Dale Avenue, Cranston, RI 02910 Casino Class I Employee 2019-12-03 ~ 2020-10-31
David D Domenico 134 Caporal St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Aphayrack Ounkeo 150 Burbank St., Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Joseph D Hanscom 2 Toby Hanna St, Providence, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Franklyn Jimenez 43 Crawford St., Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City Cranston
Zip Code 02910
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Cranston

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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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