LINDA A OBEKPA-AGWADA (Credential# 1490881) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2019. The license status is INACTIVE.
LINDA A OBEKPA-AGWADA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058983-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2019. The business address is 367 Cedar St, New Haven, CT 06111-1845. The current status is inactive.
| Licensee Name | LINDA A OBEKPA-AGWADA |
| Credential ID | 1490881 |
| Credential Number | 1.058983-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
367 Cedar St New Haven CT 06111-1845 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2015-07-01 |
| Effective Date | 2015-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1315339 | CSP.0061585 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-07 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1307814 | 1.054656 | Physician/Surgeon | 2015-10-06 | 2016-07-01 - 2017-06-30 | INACTIVE |
| Street Address | 367 CEDAR ST |
| City | New Haven |
| State | CT |
| Zip Code | 06111-1845 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phyllis Bodel Childcare Ctr @ Yale Sch Med | 367 Cedar St, New Haven, CT 06510-3222 | Child Care Center | 2017-07-01 ~ 2021-06-30 |
| Ashley Atkins | 367 Cedar St, New Haven, CT 06510 | Registered Nurse | 2008-02-21 ~ 2009-04-30 |
| Min Kyoung Song | 367 Cedar St, New Haven, CT 06510 | Registered Nurse | 2005-10-20 ~ 2006-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian A Lessard | 381 Cedar St, Newington, CT 06111-1845 | Massage Therapist | 2020-03-01 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | New Haven |
| Zip Code | 06111 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda Marie Sapanski | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2012-05-25 ~ 2020-06-30 |
| Linda Beth Drozdowicz | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Susan Linda Giampalmo | 129 York St Apt 4k, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Humeira M Badsha | 21520 Yorba Linda Boulevard, #g-421, Yorba Linda, CA 92887 | Physician/surgeon | ~ 1995-04-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
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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).