SAMONE IGHOFOSE (Credential# 1798740) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAMONE IGHOFOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072596. The credential type is controlled substance registration for practitioner. The effective date is October 15, 2019. The expiration date is February 28, 2021. The business address is 650 Potomac Ave Apt 320, Alexandria, VA 22301-3070. The current status is active.
| Licensee Name | SAMONE IGHOFOSE |
| Credential ID | 1798740 |
| Credential Number | CSP.0072596 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
650 Potomac Ave Apt 320 Alexandria VA 22301-3070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-15 |
| Effective Date | 2019-10-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1691556 | 12.008546 | Advanced Practice Registered Nurse | 2019-10-09 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1691545 | 10.165329 | Registered Nurse | 2019-10-09 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1788798 | 10.164769-TEMP | Registered Nurse - Temporary | 2019-09-25 | 2019-09-25 - 2020-01-23 | INACTIVE |
| Street Address | 650 POTOMAC AVE APT 320 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22301-3070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul Michael Ighofose | 650 Potomac Ave Apt 320, Alexandria, VA 22301-3070 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon A Grigely | 710 West View Terr, Alexandria, VA 22301 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Foundation To Eradicate Duchenne Inc. | P.o. Box 2371, Alexandria, VA 22301 | Public Charity | 2010-06-30 ~ 2011-05-31 |
| Sallie Hailstock | 504 E Custis Ave, Alexandria, VA 22301 | Licensed Practical Nurse | 1994-01-07 ~ 1995-02-28 |
| Eileen R Mankin | 1 West Alexandria Ave, Alexandria, VA 22301 | Registered Nurse | 2000-05-01 ~ 2001-06-30 |
| American Media Institute | Po Box 2847, Alexandria, VA 22301-0847 | Public Charity | 2014-09-24 ~ 2015-11-30 |
| Global Volunteer Partnership Inc | 2308 Mount Vernon Ave Ste 704, Alexandria, VA 22301-1328 | Public Charity-exempt From Financial Requirements | 2012-06-07 ~ |
| Donald G Posson | 24 W Del Ray Ave, Alexandria, VA 22301-1524 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Jui-chen Chang | 426 E Nelson Ave, Alexandria, VA 22301-1613 | Professional Engineer | 2011-02-15 ~ 2012-01-31 |
| Jet Token Inc | 1423 Leslie Ave, Alexandria, VA 22301-1618 | Securities - Exemptions | 2020-02-04 ~ |
| George Washington Masonic National Memorial Assoc Inc (the) | 101 Callahan Dr, Alexandria, VA 22301-2751 | Public Charity | 2020-01-02 ~ 2020-11-30 |
| Find all Licenses in zip 22301 | |||
| City | ALEXANDRIA |
| Zip Code | 22301 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALEXANDRIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Paul Michael Ighofose | 650 Potomac Ave Apt 320, Alexandria, VA 22301-3070 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Sue Hahm Md | 266 Purchase St, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on SAMONE IGHOFOSE.
| 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).