KRISTY A RUSSAK
Physical Therapist


Address: 5631 Hereford Drive, Newport Richey, FL 34655

KRISTY A RUSSAK (Credential# 692463) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 15, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.

Business Overview

KRISTY A RUSSAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006888. The credential type is physical therapist. The effective date is September 15, 2008. The expiration date is November 30, 2009. The business address is 5631 Hereford Drive, Newport Richey, FL 34655. The current status is inactive.

Basic Information

Licensee Name KRISTY A RUSSAK
Credential ID 692463
Credential Number 14.006888
Credential Type Physical Therapist
Business Address 5631 Hereford Drive
Newport Richey
FL 34655
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-05-04
Effective Date 2008-09-15
Expiration Date 2009-11-30
Refresh Date 2010-03-16

Other licenses

ID Credential Code Credential Type Issue Term Status
649267 10.R49519 Registered Nurse 1993-12-10 2006-11-14 - 2007-11-30 INACTIVE

Office Location

Street Address 5631 Hereford Drive
City Newport Richey
State FL
Zip Code 34655

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Janet M Fiedler · Hillshire House Inc 1510 Avada Ct, Trinity, FL 34655 Real Estate Salesperson 2005-06-01 ~ 2006-05-31
Fred W Kampmann · Pcre LLC 1430 Canberley Ct, New Port Richey, FL 34655 Real Estate Salesperson 2002-06-01 ~ 2003-05-31
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Ronald M. Pendergast 4339 Harney Court, New Port Richey, FL 34655 Certified Public Accountant License 2009-01-01 ~ 2009-12-31
Harold M Rosenblatt 1554 Westerham Loop, Trinity, FL 34655 Pharmacist 2011-02-01 ~ 2012-01-31
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Competitor

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City Newport Richey
Zip Code 34655
License Type Physical Therapist
License Type + County Physical Therapist + Newport Richey

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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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