RUSSELL MEDBERY (Credential# 617049) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
RUSSELL MEDBERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E47529. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 50 Beech Mountain Rd, Mansfield Center, CT 06250-1603. The current status is active.
| Licensee Name | RUSSELL MEDBERY |
| Credential ID | 617049 |
| Credential Number | 10.E47529 |
| Credential Type | Registered Nurse |
| Business Address |
50 Beech Mountain Rd Mansfield Center CT 06250-1603 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-08-30 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 694549 | 16.000040 | Licensed Nurse Midwife | 1991-03-12 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 158330 | CSP.0018938 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 50 BEECH MOUNTAIN RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1603 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Torin M Brine | 20 Overlook Drive, Mansfield Center, CT 06250-1603 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell S Medbery | South Brook Street, Hampton, CT 06247 | Notary Public Appointment | 1978-06-01 ~ 1983-03-31 |
| Michelle D Medbery | 2313 S Limuel Cir, Wichita, KS 67235-4109 | Registered Nurse | 2013-11-04 ~ 2014-05-31 |
| Mary C Russell Ohren · Russell | 89 Jamrog Dr, Chicopee, MA 01020 | Registered Nurse | 1994-02-15 ~ 1995-02-28 |
| Rebecca C Medbery | 462 North St, Willimantic, CT 06226-1639 | Athletic Trainer | 2019-08-01 ~ 2020-07-31 |
| Mark Medbery | 357 W Clinton St, Elmira, NY 14901-2455 | Respiratory Care Practitioner | 2019-01-16 ~ 2019-09-30 |
| Kathy Medbery | 50 Beech Mt Road, Mansfield, CT 06250 | Professional Counselor | 2019-09-01 ~ 2020-08-31 |
| Bradley Medbery | 21 Whittle Street, Mystic, CT 06355 | Emergency Medical Responder | ~ 1992-07-01 |
| Scott L Medbery | 102 D Canterbury Road, Plainfield, CT 06374 | Emergency Medical Technician | ~ 2000-01-01 |
| Rachel Medbery | 5 Seabreeze Avenue, Milford, CT 06460 | Notary Public Appointment | 2001-11-05 ~ 2006-11-30 |
| Bradley Medbery | 100 Sebethe Drive #a2, Cromwell, CT 06416 | Medication Administration Certification | 1994-07-06 ~ 1996-07-05 |
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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).