ESEOSA EDO-OSAGIE (Credential# 1653157) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ESEOSA EDO-OSAGIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062800-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 263 Farmington Ave Lm068, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | ESEOSA EDO-OSAGIE |
| Credential ID | 1653157 |
| Credential Number | 1.062800-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
263 Farmington Ave Lm068 Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1646117 | CSP.0070601 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-01 | 2019-05-01 - 2021-02-28 | ACTIVE |
| Street Address | 263 FARMINGTON AVE LM068 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret Y Iyamu-osagie · Iyamu-osagie | 48 Hoinski Way, Ansonia, CT 06401 | Registered Nurse | 2007-10-05 ~ 2008-10-31 |
| Folasade - Osagie | P. O Box 60652, Longmeadow, MA 01116 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Courage Osagie | 211 Albrighton Ct, Suwanee, GA 30024-7369 | Radiographer | ~ |
| Owen C Osagie | 46 Hornbeam Rd, Coventry, RI 02816-7646 | Electrical Unlimited Journeyperson | ~ |
| Eroro Belo-osagie | 349 Virginia Ave, Elmont, NY 11003-5042 | Registered Nurse | 2015-03-04 ~ 2015-11-30 |
| Abel N Osagie | 28 Ward Dr S, Danbury, CT 06810-8246 | Real Estate Broker | 2010-04-01 ~ 2011-03-31 |
| Evie T Iyamu-osagie | 76 N Mountain Rd Apt C, New Britain, CT 06053-3471 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Nancy Osagie | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2014-02-11 ~ 2016-02-10 |
| Adesuwa Osagie | 28 Ward Dr S, Danbury, CT 06810-8246 | Advanced Practice Registered Nurse | 2019-10-31 ~ 2020-09-30 |
| David Osagie Eghosa | 211 N Barrett Ln, Newark, DE 19702-2964 | Licensed Practical Nurse | 2010-12-29 ~ 2011-05-31 |
Please comment or provide details below to improve the information on ESEOSA EDO-OSAGIE.
| 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).