FIDELIS UZOMA ENYINNAYA (Credential# 1365576) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
FIDELIS UZOMA ENYINNAYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003671. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 80 Seymour St, Hartford, CT 06102. The current status is active.
| Licensee Name | FIDELIS UZOMA ENYINNAYA |
| Credential ID | 1365576 |
| Credential Number | 23.003671 |
| Credential Type | Physician Assistant |
| Business Address |
80 Seymour St Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-09-13 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1378976 | CSP.0064036 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 80 Seymour st |
| City | Hartford |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pragya Kalla | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Nicole G Baarck | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Matteen Hakim | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashley Sanchez Ramos | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | Hartford |
| Zip Code | 06102 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fidelis | 525 Harvest Lane, Verona, WI 53593 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Fidelis Investors, Lp | 200 West Street, New York, NY 10282 | Securities - Exemptions | ~ |
| Uzoma Ndukwe | 275 Battery St #650, San Francisco, CA 94111 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Fidelis Biscuit Co | 442 Main St, Rockland, ME 04841-3344 | Commercial Feed | 2015-01-01 ~ 2015-12-31 |
| Fidelis Design and Construction | 20 Woodland Hts, Wales, MA 01081-9539 | Home Improvement Contractor | 2019-07-17 ~ 2019-11-30 |
| Fidelis Center for Law and Policy · Catholic Vote.org; Education Fund; Catholic Vote.org Legal Action Fund | 525 Harvest Lane, Verona, WI 53593 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Cantina Del Taburno Fidelis Aglianico Del Taburno Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-08-05 ~ 2008-08-04 |
| Uzoma J Opara | 25 E Beech St, Central Islip, NY 11722-3140 | Radiographer | 2012-04-30 ~ 2013-01-31 |
| Uzoma O Nwaekpe | 1056 E 215 St, Bronx, NY 10469 | Licensed Practical Nurse | 2006-12-04 ~ 2007-08-31 |
| Uzoma Nwosu | 262 Fairview St, New Britain, CT 06051-2338 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
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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).