OMOBOLA ONIKOYI (Credential# 1514267) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
OMOBOLA ONIKOYI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060891-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 130 Hartford Rd, Manchester, CT 06040-5921. The current status is inactive.
| Licensee Name | OMOBOLA ONIKOYI |
| Credential ID | 1514267 |
| Credential Number | 1.060891-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
130 Hartford Rd Manchester CT 06040-5921 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1521027 | CSP.0068604 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-05 | 2018-07-05 - 2019-02-28 | LAPSED |
| Street Address | 130 HARTFORD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5921 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Austin Bass | 130 Hartford Rd, Manchester, CT 06040-5921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Bliss Yoon | 130 Hartford Rd, Manchester, CT 06040-5921 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandra E Zacchera | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sabesan Karuppiah | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor E Korang Md | 130 Hartford Rd, Manchester, CT 06040 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Kaiser Permanente | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Hope Manor Inc | 48 Hartford Rd, Manchester, CT 06040-5921 | Public Charity | 2011-12-01 ~ 2013-05-31 |
| Fuss & O'neill Inc | 146 Hartford Rd, Manchester, CT 06040-5921 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bukola Onikoyi | 1001 Mckeen Place, Mile2, LA 71201 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| 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 |
| 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 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Eni Smith | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-09-17 ~ 2019-06-30 |
| Hesham Ezz | 594 River Rd, Shelton, CT 06484-4538 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).