OLASUPO A ODUNSI
Physician/surgeon


Address: 74 Branch Brook Dr., Bellville, NJ 07109

OLASUPO A ODUNSI (Credential# 553684) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 22, 1999. The license expiration date date is February 29, 2000. The license status is INACTIVE.

Business Overview

OLASUPO A ODUNSI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036092. The credential type is physician/surgeon. The effective date is March 22, 1999. The expiration date is February 29, 2000. The business address is 74 Branch Brook Dr., Bellville, NJ 07109. The current status is inactive.

Basic Information

Licensee Name OLASUPO A ODUNSI
Credential ID 553684
Credential Number 1.036092
Credential Type Physician/Surgeon
Business Address 74 Branch Brook Dr.
Bellville
NJ 07109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-06-13
Effective Date 1999-03-22
Expiration Date 2000-02-29
Refresh Date 2009-07-08

Office Location

Street Address 74 BRANCH BROOK DR.
City BELLVILLE
State NJ
Zip Code 07109

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Ralph F Visco · ****************************** 317 Washington Av, Belleville, NJ 07109 Professional Engineer 1989-02-17 ~ 1990-01-31
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City BELLVILLE
Zip Code 07109
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BELLVILLE

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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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