IFEANYI GABRIEL CHUKWUMA (Credential# 1587832) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
IFEANYI GABRIEL CHUKWUMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062076. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2420 Kestrel Ln, Virginia Beach, VA 23456-3452. The current status is active.
| Licensee Name | IFEANYI GABRIEL CHUKWUMA |
| Credential ID | 1587832 |
| Credential Number | 1.062076 |
| Credential Type | Physician/Surgeon |
| Business Address |
2420 Kestrel Ln Virginia Beach VA 23456-3452 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-31 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1612112 | CSP.0069806 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2420 KESTREL LN |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-3452 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjorie Paulette Davis | 1841 Kensal Green Drive, Virginia Beach, VA 23456 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Sarah B King | 2036 Terramar Ln, Virginia Beach, VA 23456 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jared M Durban | 2517 Sanderson Lane, Virginia Beach, VA 23456 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Deborah A Miller | 2412 Charlotte Grace Way, Virginia Beach, VA 23456 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| April Breazeale | 4301 Derby Wharf Drive, Virgina Beach, VA 23456 | Pharmacy Technician | 2004-04-07 ~ 2005-03-31 |
| John J Devan | 2341 Tallwood Trail, Virginia Beach, VA 23456 | Professional Engineer | 1996-02-13 ~ 1997-01-31 |
| Mirja Leena Livingston | 2405 Adair Ct, Virginia Beach, VA 23456 | Registered Nurse - Temporary | 2015-03-11 ~ 2015-07-08 |
| Elaine M Foley | 3041 Hemingway Road, Virginia Beach, VA 23456 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Sam L Alvord | 1901 Grey Dove Ct, Virginia Beach, VA 23456 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Beryl L Gittens | 2441 Seven Kings Road, Virginia Beach, VA 23456 | Licensed Practical Nurse | 2010-12-01 ~ 2011-11-30 |
| Find all Licenses in zip 23456 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + VIRGINIA BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chukwuma I Onyeije | 91 Orchard Street, Thornwood, NY 10594 | Physician/surgeon | 2002-08-06 ~ 2003-02-28 |
| Richard Chukwuma Maduka | 111 Park St Apt 6r, New Haven, CT 06511-5456 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gabriel Man | 240 E 39th St Apt 9a, New York, NY 10016-7221 | Physician/surgeon | 2010-10-19 ~ 2011-10-31 |
| Michael E Gabriel Md | 183 Cherry St, New Canaan, CT 06840 | Physician/surgeon | 2003-07-14 ~ 2004-07-31 |
| Daniel Gabriel | 23 Huntswood Ln, Glenmont, NY 12077-3645 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Gabriel Tenembaum Md | P O Box D3600, Pomona, NY 10970-0526 | Physician/surgeon | 1999-07-02 ~ 2000-06-30 |
| Gabriel Gustin | 40-28 82 Street, Elmhurst, NY 11373 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Gabriel G Hakim | 41 Midway Dr, Middlebury, CT 06762-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gabriel Abella Md | 82 New Park Ave, Franklin, CT 06254 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gabriel Yuil | Box 1877, Lawrence, MA 01842 | Physician/surgeon | 1994-02-16 ~ 1995-01-31 |
Please comment or provide details below to improve the information on IFEANYI GABRIEL CHUKWUMA.
| 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).