ISIAKA OBISESAN (Credential# 1558207) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is October 30, 2019. The license expiration date date is October 29, 2021. The license status is ACTIVE.
ISIAKA OBISESAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001721389. The credential type is medication administration certification. The effective date is October 30, 2019. The expiration date is October 29, 2021. The business address is 250 Boston Ave, Stratford, CT 06614. The current status is active.
| Licensee Name | ISIAKA OBISESAN |
| Credential ID | 1558207 |
| Credential Number | DSMA.001721389 |
| Credential Type | Medication Administration Certification |
| Business Address |
250 Boston Ave Stratford CT 06614 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2015-10-07 |
| Effective Date | 2019-10-30 |
| Expiration Date | 2021-10-29 |
| Refresh Date | 2019-10-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1543012 | DSMA.001521389 | Medication Administration Certification | 2013-09-26 | 2015-10-30 - 2017-10-29 | INACTIVE |
| Street Address | 250 Boston Ave |
| City | Stratford |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omotayo Obisesan | 250 Boston Ave, Stratford, CT 06614 | Medication Administration Certification | 2019-01-21 ~ 2021-01-20 |
| Taofeek Obisesan | 250 Boston Ave, Stratford, CT 06614 | Medication Administration Certification | 2018-12-02 ~ 2020-12-01 |
| Fatai Olugbenga Obisesan | 250 Boston Ave, Stratford, CT 06614-5211 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| 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 | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Stratford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omotayo Obisesan | 250 Boston Ave, Stratford, CT 06614 | Medication Administration Certification | 2019-01-21 ~ 2021-01-20 |
| Taofeek Obisesan | 250 Boston Ave, Stratford, CT 06614 | Medication Administration Certification | 2018-12-02 ~ 2020-12-01 |
| Idayat Obisesan | 227 Elm St., West Haven, CT 06516 | Medication Administration Certification | 2015-10-01 ~ 2017-09-30 |
| Fatai Obisesan | 250 Boston Avenue, Stratford, CT 06614 | Medication Administration Certification | 2019-05-09 ~ 2021-05-08 |
| Isiaka A Popoola | 781 Sanford Avenue, Newark, NJ 07106 | Registered Nurse | 2006-01-26 ~ 2006-10-31 |
| Annmarie Noami Obisesan | 44 Sequin Rd, West Hartford, CT 06117 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Fatai Olugbenga Obisesan | 250 Boston Ave, Stratford, CT 06614-5211 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| William Yah | CT | Medication Administration Certification | 2018-09-18 ~ 2020-09-18 |
| Amy Newman | CT | Medication Administration Certification | 2018-11-19 ~ 2020-11-19 |
| Katherine Civitello | 636 Rt 148, Killingworth, CT 06419 | Medication Administration Certification | ~ |
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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).