OLALESI OSUNSADE (Credential# 1632719) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
OLALESI OSUNSADE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064147. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 741 River Ave, Providence, RI 02908-2312. The current status is active.
Licensee Name | OLALESI OSUNSADE |
Credential ID | 1632719 |
Credential Number | 1.064147 |
Credential Type | Physician/Surgeon |
Business Address |
741 River Ave Providence RI 02908-2312 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-08-28 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-12-10 |
Street Address | 741 RIVER AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02908-2312 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
Find all Licenses in zip 02908 |
City | PROVIDENCE |
Zip Code | 02908 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laidade Osunsade | 1450 Chapel St # 136, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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).