OMOSEDE O IGHILE (Credential# 1309331) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
OMOSEDE O IGHILE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054624. The credential type is physician/surgeon. The effective date is September 28, 2015. The expiration date is April 30, 2016. The business address is 23 Woodland Park, Hartford, CT 06105-1216. The current status is inactive.
| Licensee Name | OMOSEDE O IGHILE |
| Credential ID | 1309331 |
| Credential Number | 1.054624 |
| Credential Type | Physician/Surgeon |
| Business Address |
23 Woodland Park Hartford CT 06105-1216 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-09-28 |
| Effective Date | 2015-09-28 |
| Expiration Date | 2016-04-30 |
| Refresh Date | 2016-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1174976 | CSP.0055456 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-26 | 2013-07-26 - 2015-02-28 | INACTIVE |
| Street Address | 23 WOODLAND PARK |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1216 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Smith | 23 Woodland Park, Hartford, CT 06105 | Emergency Medical Technician | ~ 1999-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vikram Pole | 27 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2017-03-20 ~ 2019-02-28 |
| Elizabeth M Sipusic Md | 51 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David C. Zaluski Dds | 41 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Martine R Forrester | 37 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Angela R Adams | 33 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2009-03-24 ~ 2011-02-28 |
| Cupid Gascon Md | Woodland Park Apt 43, Hartford, CT 06105-1216 | Physician/surgeon | 1996-02-27 ~ 1997-02-28 |
| Albert Rafanan Md | Woodland Park #43, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Sarah A Shawki Md | 27 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Rene H Cuadra | 51 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ekateriaa A Kolmogorova | 43 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2013-07-23 ~ 2015-02-28 |
| Find all Licenses in zip 06105-1216 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on OMOSEDE O IGHILE.
| 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).