RUSSELL W BISESI (Credential# 679634) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2009. The license expiration date date is April 30, 2010. The license status is INACTIVE.
RUSSELL W BISESI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001455. The credential type is advanced practice registered nurse. The effective date is April 20, 2009. The expiration date is April 30, 2010. The business address is 136 Weld St, West Roxbury, MA 02132. The current status is inactive.
| Licensee Name | RUSSELL W BISESI |
| Doing Business As | MARCINIAK |
| Credential ID | 679634 |
| Credential Number | 12.001455 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
136 Weld St West Roxbury MA 02132 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-10-25 |
| Effective Date | 2009-04-20 |
| Expiration Date | 2010-04-30 |
| Refresh Date | 2010-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 619742 | 10.E50562 | Registered Nurse | 1987-09-14 | 2009-04-20 - 2010-04-30 | INACTIVE |
| 51014 | CSP.0025021 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 136 WELD ST |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben Freiberg | 352 Lagrange St., West Roxbury, MA 02132 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kathryn Boyne | 10 Graham Ter, West Roxbury, MA 02132 | Licensed Clinical Social Worker | ~ |
| James Pappas | 264 Temple St, West Roxbury, MA 02132 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kate Larsen | 15 Lorette Street, Boston, MA 02132 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Jacob Williams | 16 Bobolink St, West Roxbury, MA 02132 | Professional Counselor Associate | 2020-01-21 ~ 2020-11-30 |
| Michelle A Celentano | 8 Glenburnie Rd, West Roxbury, MA 02132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ruth C Peterle-dzurec | 506 Lagrange Street, West Roxbury, MA 02132 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bridgid Maeve O'brien | 665 West Roxbury Pkwy, West Roxbury, MA 02132 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Guixiao Li | 29 Maplewood Street, West Roxbury, MA 02132 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 02132 | |||
| City | WEST ROXBURY |
| Zip Code | 02132 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST ROXBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frances M Ballentine | 545 Russell Road, Abingdon, VA 24210 | Advanced Practice Registered Nurse | 2003-06-19 ~ 2004-04-30 |
| Christine Ann Musgrove | 1252 N Krug St, Russell, KS 67665-1809 | Advanced Practice Registered Nurse | 2020-06-12 ~ 2021-04-30 |
| Emily Delores Russell | 33 East Ave, West Haven, CT 06516-6120 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Carol A Bova | P.o. Box 215, Princeton, MA 01541 | Advanced Practice Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Ebony T Johnson | 835 Mix Ave Apt 315, Hamden, CT 06514 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tim G Bombard | 694 Palisado Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
Please comment or provide details below to improve the information on RUSSELL W BISESI.
| 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).