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.
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.
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 |
Street Address | 618 CORNWALL RD STE 2 |
City | LEBANON |
State | PA |
Zip Code | 17042-7089 |
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 |
City | LEBANON |
Zip Code | 17042 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEBANON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fatimah Olamide Audu | 205 Church St Apt 3a, New Haven, CT 06510-1895 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olamide Olamide | 123 Burnham Street, Hartford, CT 06112 | Medication Administration Certification | 2019-11-13 ~ 2021-11-13 |
Olamide Oladapo | 8 Avalon Way, Sandy Hook, CT 06482-1661 | Respiratory Care Practitioner | 2020-02-01 ~ 2021-01-31 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).