KWAME ADU-GYAMFI PA
Controlled Substance Registration for Practitioner


Address: 21033 Timber Ridge Terr #102, Ashbury, VA 20147

KWAME ADU-GYAMFI PA (Credential# 322626) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

KWAME ADU-GYAMFI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032901. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 21033 Timber Ridge Terr #102, Ashbury, VA 20147. The current status is inactive.

Basic Information

Licensee Name KWAME ADU-GYAMFI PA
Credential ID 322626
Credential Number CSP.0032901
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21033 Timber Ridge Terr #102
Ashbury
VA 20147
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
743044 23.001295 Physician Assistant 2002-11-20 2002-11-20 - 2003-09-30 INACTIVE

Office Location

Street Address 21033 TIMBER RIDGE TERR #102
City ASHBURY
State VA
Zip Code 20147

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Erin L Dice 42904 Secreatavich Ct, Ashburn, VA 20147 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Doreen Mattimiro · Lynch 43506 Golden Meadow, Ashburn, VA 20147 Registered Nurse 2019-11-01 ~ 2020-10-31
Katherine Luebke Aprn 43265 Somerset Hills Terrace, Asburn, VA 20147 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Jennifer K Rohn 20214 Birdsnest Place, Ashburn, VA 20147 Marital and Family Therapist 2017-09-01 ~ 2018-08-31
Tony J Barrett 43230 Baltusrol Terrace, Ashburn, VA 20147 Professional Engineer 2012-02-01 ~ 2013-01-31
Elsa Acosta 21747 Omeara Ter. #304, Ashburn, VA 20147 Massage Therapist 2013-10-01 ~ 2015-09-30
Robert G. Darling 43241 Augustine Place, Ashburn, VA 20147 Physician/surgeon 2014-02-01 ~ 2015-01-31
Mark Callihan 19953 Interlachen Circle, Ashburn, VA 20147 Certified Public Accountant Certificate ~
James P Belger 43200 Wayside Circle, Ashburn, VA 20147 Certified Public Accountant License 2007-01-01 ~ 2007-12-31
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Competitor

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City ASHBURY
Zip Code 20147
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ASHBURY

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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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