DAWN S RUSSELL MD (Credential# 565246) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
DAWN S RUSSELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047664. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 2360 E. Preserve Way, Miramar, FL 33025. The current status is active.
| Licensee Name | DAWN S RUSSELL MD |
| Credential ID | 565246 |
| Credential Number | 1.047664 |
| Credential Type | Physician/Surgeon |
| Business Address |
2360 E. Preserve Way Miramar FL 33025 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-05-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446214 | CSP.0039865 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-26 | 2011-10-09 - 2013-02-28 | INACTIVE |
| 413134 | CSP.0037971 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-23 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 2360 E. PRESERVE WAY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Averyl Glenda Blake-fraites | 641 Sw 94th Terrace, Pembroke Pines, FL 33025 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Serena M Crosdale | 3050 E Missionwood Lane, Miramar, CT 33025 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Jonathan A Bray | 11553 Sw 26th Pl, Mirimar, FL 33025 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Prince Pierre | 3360 Kapot Terrace, Miramar, FL 33025 | Crane Operator Apprentice | 2012-04-18 ~ 2014-04-17 |
| Joshua P Powell | 1771 Sw 85th Terrace, Miramar, FL 33025 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Akosua A Freckleton | 8360 Missionwood Circle, Miramar, FL 33025 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Doctor Diabetic Supply, LLC | 3660 Enterprise Way, Miramar, FL 33025 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-07-01 ~ 2014-06-30 |
| Doreen C Smiley | 9611 North Hollybrook Lake Drive, Pembroke Pines, FL 33025 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
| Edith H Edwards | 9940 Sw 14 St, Pembroke Pines, FL 33025 | Registered Nurse | 1993-09-23 ~ 1994-10-31 |
| Anisa Ramji · Kemani | 8534 Sw 5th St, Pimbroke Pines, FL 33025 | Registered Nurse | 2005-02-22 ~ 2006-03-31 |
| Find all Licenses in zip 33025 | |||
| City | MIRAMAR |
| Zip Code | 33025 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIRAMAR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell F Turk Md | Stamford Health Russell Turk, Md, Riverside, CT 06878 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Dawn A Gonsalves | 30 Regan Way, Germantown, NY 12526-5528 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Dawn M Risley Do | 34-3 Shunpike Rd # 168, Cromwell, CT 06416-2490 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Tiffani Dawn Lemen | 700 Horizon Dr Ste 103, Chalfont, PA 18914-3967 | Physician/surgeon | ~ |
| Dawn A Lukose | 611 Bernice Rd, Franklin Square, NY 11010-1801 | Physician/surgeon | ~ |
| Dawn C Richardson Md | 101 Phoenix Ave Ste 2c, Enfield, CT 06082 | Physician/surgeon | 2005-02-25 ~ 2006-02-28 |
| Russell W Robertson | Po Box 234, Dublin, NH 03444-0234 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Joanna Dawn Pruzon | 79 Jefferson Ave, Maplewood, NJ 07040-1228 | Physician/surgeon | 2018-12-28 ~ 2019-12-31 |
Please comment or provide details below to improve the information on DAWN S RUSSELL MD.
| 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).