ABISOLA GBEMISOLA BARUWA ETTI (Credential# 2000656) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 26, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
ABISOLA GBEMISOLA BARUWA ETTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064925. The credential type is physician/surgeon. The effective date is February 26, 2020. The expiration date is December 31, 2020. The business address is 263 Farmington Avenue, Farmington, CT 06030. The current status is active.
| Licensee Name | ABISOLA GBEMISOLA BARUWA ETTI |
| Credential ID | 2000656 |
| Credential Number | 1.064925 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Avenue Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-26 |
| Effective Date | 2020-02-26 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-02-27 |
| Street Address | 263 Farmington Avenue |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Davis Aasen | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Christopher D Lemoine | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Dylan Buller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Lindelof | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Colin J Pavano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Barrett B Torre | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Samantha Slattery | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ethan A Miller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Patrick Bergamo | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Shriya Gupta | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abisola Baruwa Etti | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matini O Baruwa-etti | 24 Park Place, Apt 20 K, Hartford, CT 06106 | Notary Public Appointment | 2017-10-05 ~ 2022-10-31 |
| Abisola Adeosun | 545 Vincellette St, Bridgeport, CT 06606 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Abisola O Afolalu | 42 Skyview Rd, Orange, CT 06477-1114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Olanrewaju Baruwa | 400 Mineral Spring Ave Apt 27, Pawtucket, RI 02860-3587 | Advanced Practice Registered Nurse | 2020-03-05 ~ 2021-02-28 |
| Maria E. Etti | 117 Reimers Road, Monson, MA 01057 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Edmond N. Etti | 117 Reimers Road, Monson, MA 01057 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Joseph P Etti | 73 Byram Road, Port Chester, CT 00000 | Notary Public Appointment | 1967-11-01 ~ 1972-03-31 |
| 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 |
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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).