SAMARA D RUSSELL
Registered Nurse


Address: 222 Butlertown Rd, Waterford, CT 06385

SAMARA D RUSSELL (Credential# 590523) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

SAMARA D RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.086521. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 222 Butlertown Rd, Waterford, CT 06385. The current status is active.

Basic Information

Licensee Name SAMARA D RUSSELL
Credential ID 590523
Credential Number 10.086521
Credential Type Registered Nurse
Business Address 222 Butlertown Rd
Waterford
CT 06385
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-09-04
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1029160 12.004763 Advanced Practice Registered Nurse 2011-08-24 2020-07-01 - 2021-06-30 ACTIVE
1341050 10.133080-TEMP Registered Nurse - Temporary 2016-03-22 2016-03-22 - 2016-07-19 INACTIVE
1031585 CSP.0051338 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-09-02 2013-03-01 - 2015-02-28 INACTIVE
191500 RES.0754724 REAL ESTATE SALESPERSON 1998-02-19 - 1998-05-31 INACTIVE

Office Location

Street Address 222 Butlertown Rd
City Waterford
State CT
Zip Code 06385

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Howard Christopher Rosas 40 Ridgewood Ave, Waterford, CT 06385 Chiropractor 2020-07-01 ~ 2021-06-30
Vincent F Donato 26 Wild Rose Avenue, Waterford, CT 06385 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Mark A Herter 51 Quarry Rd, Waterford, CT 06385 Architect 2020-08-01 ~ 2021-07-31
Pamela A Manke 54 Rope Ferry Rd., Waterford, CT 06385 Professional Counselor 2020-08-01 ~ 2021-07-31
Carol Winslow 18 Myrock Ave, Waterford, CT 06385 Marital and Family Therapist 2020-09-01 ~ 2021-08-31
Donna M Rivero · Knupp 3 Ridgewood Ave, Waterford, CT 06385 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Margaret A Goldschneider · Chapman 3 High Ridge Drive, Waterford, CT 06385 Registered Nurse 2020-09-01 ~ 2021-08-31
Frank R Dellacono Md 201 Boston Post Road, Waterford, CT 06385 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mathew H Tellier 25 Locust Ct., Waterford, CT 06385 Backflow Prevention Device Tester 2020-06-18 ~ 2023-03-31
Renata Kamburi 16 Marilyn Road, Waterford, CT 06385 Esthetician 2020-06-20 ~ 2021-12-31
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Competitor

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City Waterford
Zip Code 06385
License Type Registered Nurse
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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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