CONSTANCE R TAMBAKIS-ODOM (Credential# 1203793) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CONSTANCE R TAMBAKIS-ODOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056313. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1124 Floral Ave, Wilmington, NC 28403. The current status is active.
| Licensee Name | CONSTANCE R TAMBAKIS-ODOM |
| Credential ID | 1203793 |
| Credential Number | 1.056313 |
| Credential Type | Physician/Surgeon |
| Business Address |
1124 Floral Ave Wilmington NC 28403 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2017-03-30 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425830 | CSP.0065560 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1124 Floral Ave |
| City | Wilmington |
| State | NC |
| Zip Code | 28403 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherry-lynn Amaral | 1221 Hill Street, Wilmington, NC 28403 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Francisca J Oller | 2815 Hydrangea Place, Wilmington, NC 28403 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Wildchild Stockholm Inc | 127 Racine Drive, Wilmington, NC 28403 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Nicole A Pipitone | 2931 Midtown Way Apt 302, Wilmington, NC 28403 | Professional Counselor | 2020-03-01 ~ 2021-02-28 |
| David B Sims Jr | 108 Giles Ave Suite 100, Wilmington, NC 28403 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Cari A Bruins | 6309 South Bradley Overlook, Wilmington, NC 28403 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Elizabeth G Baker | 377 Darlington Avenue #108, Wilmington, NC 28403 | Engineer-in-training | 2006-05-09 ~ 2016-05-09 |
| Bruce J Marek | 5420 Collinwood Ct, Wilmington, NC 28403 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Sue A Moynahan | 821 Varsity Drive, Wilmington, DE 28403 | Hairdresser/cosmetician | 2004-11-19 ~ 2006-09-30 |
| Lucille P Forbes | 1600-43 Sturdivant, Wilmington, NC 28403 | Registered Nurse | 1998-08-19 ~ 1999-09-30 |
| Find all Licenses in zip 28403 | |||
| City | Wilmington |
| Zip Code | 28403 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wilmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Constance Guille | 23 Darling St., Southington, CT 06489 | Physician/surgeon | 2008-06-03 ~ 2009-07-31 |
| Constance A. Young | 11 Hidden Oak Rd, Briarcliff Manor, NY 10510-2147 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Constance B Sutilla | 1204 Whitney Avenue, Hamden, CT 06517 | Physician/surgeon | 1993-08-25 ~ 1994-08-31 |
| Dixon Odom Pllc | P.o. Box 2646, Highpoint, NC 27261 | Certified Public Accountant Firm Permit | 2002-05-07 ~ 2002-12-31 |
| Dixon Odom, Pllc | P O Box 1626, Clarksburg, WV 26302 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Nicholas C Tambakis | 112 Wall St, Torrington, CT 06790 | Public Weigher | 2000-11-09 ~ 2001-06-30 |
| Mary C Tambakis | 12 Sugar Plum Lane, Fairfield, CT 06430 | Notary Public Appointment | 1994-12-01 ~ 1999-11-30 |
| Debra G Odom | 145 Bishop Rd, Bozrah, CT 06334-1504 | Home Inspector | 2019-07-01 ~ 2021-06-30 |
| Simone Odom | 280 Woodville Rd, Warren, CT 06777 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Paula Odom | 70 Pacemaker Ave, Norwich, CT 06360-9788 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on CONSTANCE R TAMBAKIS-ODOM.
| 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).