JUSTIN M RUSSO
Controlled Substance Registration for Practitioner


Address: 64 Addison Rd Apt 102, Glastonbury, CT 06033

JUSTIN M RUSSO (Credential# 942477) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JUSTIN M RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047891. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 64 Addison Rd Apt 102, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name JUSTIN M RUSSO
Credential ID 942477
Credential Number CSP.0047891
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 64 Addison Rd Apt 102
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-07-15
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address 64 Addison Rd Apt 102
City Glastonbury
State CT
Zip Code 06033

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Competitor

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City Glastonbury
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Suzanne Russo 424 Judson Ave, Mystic, CT 06355 Controlled Substance Registration for Practitioner 2001-03-29 ~ 2002-02-28
Anthony J Russo Dds 85 Prospect St, Milford, CT 06460 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Robert D Russo Jr P.o.box 6128, Bridgeport, CT 06606 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Christopher J Russo 118 Bridgewater Dr, Avon, CT 06001-4404 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Anna Russo 110 Lawnwood Ave, Longmeadow, MA 01106-3021 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter D Russo Dmd 53 Montowese St, Branford, CT 06405 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Justin J Cohen 835 Mix Ave, Hamden, CT 06514 Controlled Substance Registration for Practitioner 2004-09-10 ~ 2006-02-28
Justin A Cross Md Po Box 362, Kedrsavge, NH 03847 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Armand V Russo 1044 Chapel St Apt 203, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Christopher Ryan Russo 300 Stafford St Ste 154, Springfield, MA 01104-3583 Controlled Substance Registration for Practitioner 2020-03-27 ~ 2021-02-28

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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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