UGOCHI EZEALA (Credential# 1320550) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
UGOCHI EZEALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054947. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 200 East Main Street, Stratford, CT 06614. The current status is active.
| Licensee Name | UGOCHI EZEALA |
| Credential ID | 1320550 |
| Credential Number | 1.054947 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 East Main Street Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1336729 | CSP.0062187 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 200 EAST MAIN STREET |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Dock Wine and Liquor Inc | 200 East Main Street, Stratford, CT 06614 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2019-02-25 ~ 2020-02-28 |
| Scott F Hoffman · Captains Keg (the) | 200 East Main Street, Stratford, CT 06497 | Package Store Liquor | 2006-04-12 ~ 2006-10-11 |
| Michael B Osbourne · Captain's Keg | 200 East Main Street, Stratford, CT 06497 | Package Store Liquor | 1999-11-15 ~ 2000-11-14 |
| Stop & Shop Pharmacy #639 | 200 East Main Street, Stratford, CT 06614 | Pharmacy | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ugochi M Erem | 310 Lincoln Street, Waterbury, CT 06710 | Licensed Practical Nurse | ~ |
| Ugochi Erem | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 2017-09-03 ~ 2019-09-02 |
| Ugochi P Orchingwa | 756 South Quaker Lane, West Hartford, CT 06110 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ugochi Uhiara | 2370 Victory Ave Apt 1714, Dallas, TX 75219-7921 | Registered Nurse - Temporary | 2019-02-20 ~ 2019-06-20 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on UGOCHI EZEALA.
| 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).