PENELOPE RUSSIANOFF
Psychologist


Address: 315 W 86th St 17a, New York, NY 10024

PENELOPE RUSSIANOFF (Credential# 789046) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is October 5, 1998. The license expiration date date is November 30, 1999. The license status is INACTIVE.

Business Overview

PENELOPE RUSSIANOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.000532. The credential type is psychologist. The effective date is October 5, 1998. The expiration date is November 30, 1999. The business address is 315 W 86th St 17a, New York, NY 10024. The current status is inactive.

Basic Information

Licensee Name PENELOPE RUSSIANOFF
Credential ID 789046
Credential Number 8.000532
Credential Type Psychologist
Business Address 315 W 86th St 17a
New York
NY 10024
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1975-02-03
Effective Date 1998-10-05
Expiration Date 1999-11-30
Refresh Date 2009-07-08

Office Location

Street Address 315 W 86TH ST 17A
City NEW YORK
State NY
Zip Code 10024

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City NEW YORK
Zip Code 10024
License Type Psychologist
License Type + County Psychologist + NEW YORK

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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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