OLUSOLA ODUNTAN (Credential# 559430) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 12, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.
OLUSOLA ODUNTAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041847. The credential type is physician/surgeon. The effective date is August 12, 2004. The expiration date is August 31, 2005. The business address is 1804 Heathers Way, Augusta, GA. The current status is inactive.
| Licensee Name | OLUSOLA ODUNTAN |
| Credential ID | 559430 |
| Credential Number | 1.041847 |
| Credential Type | Physician/Surgeon |
| Business Address |
1804 Heathers Way Augusta GA |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-09-11 |
| Effective Date | 2004-08-12 |
| Expiration Date | 2005-08-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1804 Heathers Way |
| City | Augusta |
| State | GA |
| City | Augusta |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Augusta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olusola J Ayankola | 900 Chapel Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ayotunde Olusola Ayobello | 709 Riverland Rd Se, Roanoke, VA 24014-2517 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Olusola O Runsewe | P.o. Box 273, Hopewell Junction, NY 12533 | Dentist | 2008-02-29 ~ 2009-01-31 |
| Chikaodili Olusola Obidike | 38 Crown St, New Haven, CT 06510 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Olusola O Alamu | 4218 Carpenter Ave, Bronx, NY 10466 | Registered Nurse | 2003-11-10 ~ 2004-11-30 |
| Olusola A Adediran · Ogunyemi | 285 Prout Hill Rd, Middletown, CT 06457-5450 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Olusola C Olawale | 1684 Thorn Ridge Trl, Hampton, GA 30228-6129 | Registered Nurse | 2018-01-01 ~ 2018-12-31 |
| Olusola Obasa | 290 Pratt St., Meriden, CT 06450 | Medication Administration Certification | 2015-05-25 ~ 2017-05-24 |
| Olusola O Onawoga | 82 Brittany Farms Rd. Apt. J121, New Britain, CT 06053 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Olusola Obasa | 909 Farmington Ave, New Britain, CT 06053-1352 | Controlled Substance Registration for Practitioner | 2019-07-16 ~ 2021-02-28 |
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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).