PHYLLIS L RUSSO (Credential# 668182) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is November 30, 2017. The license status is INACTIVE.
PHYLLIS L RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.024339. The credential type is licensed practical nurse. The effective date is February 1, 2017. The expiration date is November 30, 2017. The business address is Po Box 141, Wake Forest, NC 27588-0141. The current status is inactive.
| Licensee Name | PHYLLIS L RUSSO |
| Credential ID | 668182 |
| Credential Number | 11.024339 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
Po Box 141 Wake Forest NC 27588-0141 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-11-01 |
| Effective Date | 2017-02-01 |
| Expiration Date | 2017-11-30 |
| Refresh Date | 2018-03-04 |
| Street Address | PO BOX 141 |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27588-0141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carey L Nicholson | 135 Deacon Ridge, Wake Forest, NC 27587 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Donna Pierre | 3821 Orange Cosmos Ave, Wake Forest, NC 27587 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John A Dziadul Jr | 5600 Bella Terra Court, Wake Forest, NC 27587-7518 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Guy M Hays | 4400 Overglen Ave, Wake Forest, NC 27587 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Adriana T Brooks | 3608 Willow Stone Ln, Wake Forest, NC 27587-3408 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Anabela S Morales | 725 Appaloosa Way, Wake Forest, NC 27587-8200 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Harp Medical Supply LLC | 12339 Wake Union Church Rd Ste 108, Wake Forest, NC 27587-4512 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-05-14 ~ 2021-06-30 |
| London Medical Supply LLC | 12335 Wake Union Church Rd, Wake Forest, NC 27587 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Eileen M Mazza | 1417 Yardley Dr, Wake Forest, NC 27587-9843 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Aquanetta Gifondorwa | 1832 Longmont Drive, Wake Forest, NC 27587 | Licensed Clinical Social Worker | 2020-04-06 ~ 2020-08-31 |
| Find all Licenses in WAKE FOREST | |||
| City | WAKE FOREST |
| Zip Code | 27588 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + WAKE FOREST |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine F Russo | Po Box 163, Laconia, NH 03247-0163 | Licensed Practical Nurse | ~ |
| Phyllis A Green | Rr-1 Box 677, Putney, VT 05346 | Licensed Practical Nurse | 1995-02-27 ~ 1996-02-29 |
| Phyllis L Goggins Lpn | 12 Waverly St, Hartford, CT 06112-1620 | Licensed Practical Nurse | 2015-01-01 ~ 2015-12-31 |
| Phyllis M Torlish | 30 Gordon Ave, Bedford, NY 10506 | Licensed Practical Nurse | 2006-08-09 ~ 2007-09-30 |
| Phyllis A. Wing | 52 Millbrook Ct, Newington, CT 06111-2071 | Licensed Practical Nurse | 2016-04-01 ~ 2017-03-31 |
| Phyllis A Lovecchio | 75 Blake Rd, Monroe, CT 06468 | Licensed Practical Nurse | 1992-08-26 ~ 1993-10-31 |
| Phyllis B Davis | 87 North St, Trumbull, CT 06611 | Licensed Practical Nurse | 1994-03-07 ~ 1995-03-31 |
| Phyllis A Rogovsky | 155 Smith St Apt 2f, Derby, CT 06418-1244 | Licensed Practical Nurse | 2016-07-01 ~ 2017-06-30 |
| Phyllis C Riddick | 984 Willard Ave, Newington, CT 06111 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Phyllis J Olson | 39 Puritan Rd, Bristol, CT 06010 | Licensed Practical Nurse | 1995-08-02 ~ 1996-09-30 |
Please comment or provide details below to improve the information on PHYLLIS L 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).