ANTHONY O ODIBO
Controlled Substance Registration for Practitioner


Address: 228 Centre Street, Haddonfield, NJ 08033

ANTHONY O ODIBO (Credential# 172083) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

ANTHONY O ODIBO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024462. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 228 Centre Street, Haddonfield, NJ 08033. The current status is inactive.

Basic Information

Licensee Name ANTHONY O ODIBO
Credential ID 172083
Credential Number CSP.0024462
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 228 Centre Street
Haddonfield
NJ 08033
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
552920 1.035327 Physician/Surgeon 1996-06-21 1997-12-11 - 1999-01-31 INACTIVE

Office Location

Street Address 228 CENTRE STREET
City HADDONFIELD
State NJ
Zip Code 08033

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Brian J Connolly Jr 23 Estaugh Ave, Haddonfield, NJ 08033 Pharmacist 2019-12-20 ~ 2022-01-31
Frank Dellorco 419 Washington Ave, Haddonfield, NJ 08033 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
John W Kornick 3 Manor Lane, Haddonfield, NJ 08033 Professional Engineer ~
Gary S Narducci 333 Farwwod Rd, Haddonfield, NJ 08033 Real Estate Salesperson 2009-06-01 ~ 2010-05-31
Steven J Mcclane Md 3 Cooper Plaza, Suite 411, Camden, NJ 08033 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Cheryl L Davis Md 201 Merion Ave, Haddonfield, NJ 08033 Physician/surgeon 2012-04-01 ~ 2013-03-31
Julie Natale Fenton 128 Gill Road, Haddonfield, NJ 08033 Certified Public Accountant License 2008-01-01 ~ 2008-12-31
Judith F Rowland 611 Avondale Ave, Haddonfield, NJ 08033 Physical Therapist 2009-02-19 ~ 2010-04-30
Grace M Wesolow 210 W Crystal Lake, Haddonfield, NJ 08033 Physician/surgeon 1997-07-02 ~ 1998-07-31
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Competitor

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City HADDONFIELD
Zip Code 08033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HADDONFIELD

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Dataset Information

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).

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