FLORENCE ODUTOLA (Credential# 945081) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
FLORENCE ODUTOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049200. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is Johnson Memorial Hospital, Stafford Springs, CT 06076. The current status is inactive.
| Licensee Name | FLORENCE ODUTOLA |
| Credential ID | 945081 |
| Credential Number | 1.049200 |
| Credential Type | Physician/Surgeon |
| Business Address |
Johnson Memorial Hospital Stafford Springs CT 06076 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-09-09 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1052251 | CSP.0051988 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-24 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | JOHNSON MEMORIAL HOSPITAL |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAFFORD SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saikiran Shankarnarayan | Florence Health Care, Pa, Florence, SC 29505 | Physician/surgeon | 2007-07-02 ~ 2008-07-31 |
| Amanda L. Wilson | 46 Sovereign Way, Florence, MA 01062-9615 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Florence Levy | 8a/23 Thornton St, Sydney Nsw, 2027 | Physician/surgeon | 1998-05-18 ~ 1999-05-31 |
| Frank B Florence | 22 Dryden Way, Commack, NY 11725 | Physician/surgeon | 2000-07-31 ~ 2001-07-31 |
| Alfred W Lee-young | 10 Florence Way, Farmington, CT 06032 | Physician/surgeon | 1992-08-26 ~ 1993-07-31 |
| Mitsuo Matsuoka | 71 Florence Rd #2a, Branford, CT 06405 | Physician/surgeon | 2007-06-26 ~ 2008-06-30 |
| Narinder Maheshwari | 68 Florence Way, Farmington, CT 06032-3409 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anu Chaudhry | 2493 Edgefield Rd, Florence, SC 29501 | Physician/surgeon | 1996-04-01 ~ 1997-04-30 |
| Florence Haseltine | 340 Mckinley Ave, New Haven, CT 06515 | Physician/surgeon | 1999-09-28 ~ 2000-08-31 |
| Florence Comite | 150 Central Park S, New York, NY 10019-1566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on FLORENCE ODUTOLA.
| 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).