ONYEMEZE AZUOGU (Credential# 1381527) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
ONYEMEZE AZUOGU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055989. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 12121 E Arabian Park Dr, Scottsdale, AZ 85259-5120. The current status is active.
Licensee Name | ONYEMEZE AZUOGU |
Credential ID | 1381527 |
Credential Number | 1.055989 |
Credential Type | Physician/Surgeon |
Business Address |
12121 E Arabian Park Dr Scottsdale AZ 85259-5120 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-12-05 |
Effective Date | 2019-09-01 |
Expiration Date | 2020-08-31 |
Refresh Date | 2019-08-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1381624 | CSP.0064128 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-06 | 2016-12-06 - 2019-02-28 | LAPSED |
1392457 | CSP.0064439 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-07 | 2016-12-07 - 2019-02-28 | LAPSED |
Street Address | 12121 E ARABIAN PARK DR |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85259-5120 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charlotte Ann Fleharty | 10340 N 117th Place, Scottsdale, AZ 85259 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michael Richard Blaire | 10921 N 140 Way, Scottsdale, AZ 85259 | Pharmacist | 2020-03-11 ~ 2022-01-31 |
F. Scott Saladino | 12434 N 128th Place, Scottsdale, AZ 85259 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
David A Udkow | 11881 N 113th Way, Scottsdale, AZ 85259 | Architect | 2020-01-08 ~ 2020-07-31 |
Myce Academy | 11445 E. Via Linda 2-324, Scottsdale, AZ 85259 | Real Estate Continuing Education Provider | 2019-01-10 ~ |
Marzena Katarzyna Rybicki | 11620 E. Sahuaro Drive #1017, Scottsdale, AZ 85259 | Registered Nurse - Temporary | 2018-05-23 ~ 2018-09-19 |
Joseph R Pindras | 12424 E. Cochise Dr, Scottsdale, AZ 85259 | Registered Nurse | 2017-09-22 ~ 2018-02-28 |
Therese M Roman · Realty 7 Inc | 13367 E Del Timbre Dr, Scottsdale, AZ 85259 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
Mary Ann Muranko | 11005 E Bella Vista, Scottsdale, AZ 85259 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
Jerry S Rubin | 11361 N 129th Way, Scottsdale, AZ 85259 | Pharmacist | 2012-02-01 ~ 2014-01-31 |
Find all Licenses in zip 85259 |
City | SCOTTSDALE |
Zip Code | 85259 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SCOTTSDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).