OLAMIDE A ODUBOGUN
Controlled Substance Registration for Practitioner


Address: 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089

OLAMIDE A ODUBOGUN (Credential# 1076434) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

OLAMIDE A ODUBOGUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052624. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089. The current status is inactive.

Basic Information

Licensee Name OLAMIDE A ODUBOGUN
Credential ID 1076434
Credential Number CSP.0052624
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 618 Cornwall Rd Ste 2
Lebanon
PA 17042-7089
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-11
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 618 CORNWALL RD STE 2
City LEBANON
State PA
Zip Code 17042-7089

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Andrew D Macdonald 906 Meadowood Cir, North Cornwall, PA 17042 Pharmacist 2020-02-01 ~ 2022-01-31
Ian Ehrgood 1695 Quentin Road, Lebanon, PA 17042 Notary Public Appointment 2011-01-26 ~ 2016-01-31
William Eugene Fleischer 1645 Cambridge Dr, Lebanon, PA 17042 Professional Engineer 2017-02-01 ~ 2018-01-31
Kaitlyn Shifflet 120 East Penn Ave, Cleona, PA 17042 Registered Nurse 2018-02-08 ~ 2018-08-31
Swiss Premium Dairy 2401 Walnut St, Lebanon, PA 17042 Non-alcoholic Beverage & Water Bottlers 2009-07-01 ~ 2010-06-30
Angel J Guzmanabreu 1806 Plaza Apartments Summit Street, Lebanon, PA 17042 Emergency Medical Technician 2014-06-04 ~ 2017-04-01
Larymar Teresa Miller 148 South 22nd Street, Lebanon, PA 17042 Registered Nurse - Temporary 2016-09-02 ~ 2016-12-30
Michael A Walsh Jr · Ge Envrnmntl Srvcs 190 Tice Ln, Lebanon, PA 17042 Professional Engineer 1990-01-24 ~ 1991-01-31
Neil C Montgomery · Consultant 1610 Mill Rd 5, Lebanon, PA 17042 Professional Engineer 1991-06-18 ~ 1992-01-31
Lai-n0 Chiu-serodio P.o.box 1157, Lebanon, PA 17042 Physician/surgeon 1997-09-29 ~ 1998-11-30
Find all Licenses in zip 17042

Competitor

Search similar business entities

City LEBANON
Zip Code 17042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEBANON

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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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