FOLASADE - OSAGIE (Credential# 1294341) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
FOLASADE - OSAGIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054458. The credential type is physician/surgeon. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is P. O Box 60652, Longmeadow, MA 01116. The current status is inactive.
| Licensee Name | FOLASADE - OSAGIE |
| Credential ID | 1294341 |
| Credential Number | 1.054458 |
| Credential Type | Physician/Surgeon |
| Business Address |
P. O Box 60652 Longmeadow MA 01116 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-07-29 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1334574 | CSP.0062142 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-23 | 2017-03-29 - 2019-02-28 | LAPSED |
| Street Address | P. O BOX 60652 |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard N Hall | Po Box 61111, Longmeadow, MA 01116 | Massage Therapist | 2018-07-01 ~ 2020-06-30 |
| Elbert J Mccoy | Po Box 60845, Longmeadow, MA 01116 | Physician/surgeon | 1996-10-07 ~ 1997-11-30 |
| Victoria L Cook | Po Box 60547, Longmeadow, MA 01116 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Susan R Kmon | Po Box 60252, Longmeadow, MA 01116-0252 | Massage Therapist | 2010-11-01 ~ 2012-10-31 |
| David M Soja | Crc Services, Longmeadow, MA 01116-1148 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odile Abigael Baker | 40 Franklin Ter, Longmeadow, MA 01106-2632 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| David M Killeen Jr | 79 Birchwood Ave, Longmeadow, MA 01106-1107 | Lead Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brennan Patrick Kearns Cassidy | 306 Ellington Rd, Longmeadow, MA 01106-1559 | Dentist | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Laura A Dove | 248 Deepwoods Dr, Longmeadow, MA 01106-2137 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Xiaoming Zhao | 51 Laurel Ln, Longmeadow, MA 01106-2003 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Eben R Lieberman | 154 Pinewood Dr, Longmeadow, MA 01106-1640 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in LONGMEADOW | |||
| City | LONGMEADOW |
| Zip Code | 01116 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Folasade Kehinde Md | 263 Farmington Avenue Mc-2948, Farmington, CT 06030-2948 | Physician/surgeon | 2007-04-17 ~ 2008-03-31 |
| Margaret Y Iyamu-osagie · Iyamu-osagie | 48 Hoinski Way, Ansonia, CT 06401 | Registered Nurse | 2007-10-05 ~ 2008-10-31 |
| Eseosa Edo-osagie | 263 Farmington Ave Lm068, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Folasade F Kammen | 206 Elm St, New Haven, CT 06511-9992 | Emergency Medical Technician | ~ |
| Folasade T Awolesi | 33 Sean Riley Court, Getzville, NY 14068 | Registered Nurse | 2006-09-19 ~ 2007-09-30 |
| Courage Osagie | 211 Albrighton Ct, Suwanee, GA 30024-7369 | Radiographer | ~ |
| Folasade Olapeju Owopetu | 1364 York Ave Apt 18, New York, NY 10021-4056 | Registered Nurse | 2019-06-25 ~ 2020-06-30 |
| Folasade Ajayi | 263 Farmington Ave # Mc-2947, Farmington, CT 06032-1941 | Controlled Substance Registration for Practitioner | 2009-09-14 ~ 2011-02-28 |
| Eroro Belo-osagie | 349 Virginia Ave, Elmont, NY 11003-5042 | Registered Nurse | 2015-03-04 ~ 2015-11-30 |
| Evie T Iyamu-osagie | 76 N Mountain Rd Apt C, New Britain, CT 06053-3471 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
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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).