OMOTOLA O T'SARUMI (Credential# 1599333) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
OMOTOLA O T'SARUMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062069. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 507 Stearns Hill Rd, Waltham, MA 02451. The current status is active.
| Licensee Name | OMOTOLA O T'SARUMI |
| Credential ID | 1599333 |
| Credential Number | 1.062069 |
| Credential Type | Physician/Surgeon |
| Business Address |
507 Stearns Hill Rd Waltham MA 02451 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-27 |
| Street Address | 507 Stearns hill rd |
| City | Waltham |
| State | MA |
| Zip Code | 02451 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William T Whitlock | 681 Main Street Ste 3-31, Waltham, MA 02451 | Architect | 2020-08-01 ~ 2021-07-31 |
| Surgi-care Inc | 71 1 St Ave, Waltham, MA 02451 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Dsf Multi-family Fund - 2019, L.p. | 950 Winter St, Ste 4300, Waltham, MA 02451 | Securities - Exemptions | 2020-04-17 ~ |
| Colleen K Dietter | 67 Black Bear Drive # 1512, Waltham, MA 02451 | Notary Public Appointment | 2015-02-01 ~ 2020-01-31 |
| Qeepsake, Inc. | 200 5th Avenue, Waltham, MA 02451 | Securities - Exemptions | 2020-03-05 ~ |
| 3decor LLC | 281 Winter Street, Waltham, MA 02451 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Peach Innovations, Inc. | 204 Second Avenue, Waltham, MA 02451 | Securities - Exemptions | 2020-03-03 ~ |
| Simpson Gumpertz & Heger Associates Inc | 480 Totten Pond Road, Waltham, MA 02451 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Derek B Mccowan | 101 Pond End Road, Waltham, MA 02451 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laura A Arisetty | 1664 Trapelo Rd, Waltham, MA 02451 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02451 | |||
| City | Waltham |
| Zip Code | 02451 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waltham |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omotola Hope Md | 69 Woodin St, Hamden, CT 06514 | Physician/surgeon | 2007-02-02 ~ 2008-02-29 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).