License holder summary

ELSA RUSSOM is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for ELSA RUSSOM is STATEN ISLAND, NY, 10310-2738. This licensed professional license is current. The license was granted 09/26/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

ELSA RUSSOM
Controlled Substance Registration for Practitioners
License number
CSP.0056192
Date granted
09/26/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STATEN ISLAND, NY, 10310-2738
ctlicensing.org
ID 1531949
LAST UPDATED 2024-01-27 03:05:44 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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