OLUTAYO ABIDEMI SOGUNRO (Credential# 1610197) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
OLUTAYO ABIDEMI SOGUNRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062210-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2800 Main St, Bridgeport, CT 06606-4201. The current status is active.
| Licensee Name | OLUTAYO ABIDEMI SOGUNRO |
| Credential ID | 1610197 |
| Credential Number | 1.062210-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
2800 Main St Bridgeport CT 06606-4201 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-31 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1624394 | CSP.0070067 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-08 | 2019-01-08 - 2021-02-28 | ACTIVE |
| Street Address | 2800 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vahab Nemati | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Federico Delgado-hernandez | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Maria Morel Almonte | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Saumya Batra | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Lyndsay Hauser | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Buadi Tandoh | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Jason Xenakis | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sergio Reyes Salcedo | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Mahmoud Abdelrahman | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Justyna Michalik | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A. Raskauskas | 2754 Main St, Bridgeport, CT 06606-4201 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Deborah T Akanya | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Ryan T Sieberg | 2800 Main St Level 3 Medical Ed, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Millicent Amankwah | 2800 Main St # Lv3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arsalan A Alvi | 2800 Main St Dept Medicine, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Arnaldo A Rodriguez Rivera | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Edin Adilovic | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Michael Chau Viray Md | 2800 Main St # 3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Armais Akovbyan | 2800 Main Street, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Raluca L Cozmuta | 2800 Main St # Level3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 06606-4201 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abidemi A Adegbola | 448 Halstead Ave Apt 2c, Mamaroneck, NY 10543-2678 | Physician/surgeon | 2013-03-22 ~ 2014-03-31 |
| Sheri A Sogunro | 141 Governor St, New Britain, CT 06053-1908 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Abidemi Akingbehin | 150 Alexander Drive, Bridgeport, CT 06606 | Medication Administration Certification | 2019-01-31 ~ 2021-01-31 |
| Olutayo Adekoya | 1010, Hamden, CT 06518 | Medication Administration Certification | 2019-11-17 ~ 2021-11-16 |
| Olutayo T Imevbore Md | 8 Greenwood Ln, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Olutayo T Olabige Md | 14 Sandpiper Ln, Rexford, NY 12148-1384 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Olutayo Olukoya | 2666 State Street, Hamden, CT 06517 | Medication Administration Certification | 2015-04-08 ~ 2017-04-07 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).