EMMANUEL A ADEDOKUN MD (Credential# 533973) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EMMANUEL A ADEDOKUN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045579. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1000 University Blvd, Kingsport, TN 37660. The current status is active.
| Licensee Name | EMMANUEL A ADEDOKUN MD |
| Credential ID | 533973 |
| Credential Number | CSP.0045579 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1000 University Blvd Kingsport TN 37660 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-06-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564962 | 1.047380 | Physician/Surgeon | 2009-02-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 1000 University Blvd |
| City | kingsport |
| State | TN |
| Zip Code | 37660 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason E Kappa | 1033 Stagshaw Lane, Kingsport, TN 37660 | Emergency Medical Technician | 2009-04-29 ~ 2010-10-01 |
| Yaw Otchere-boateng | 1005 Carrington Court, Kingsport, TN 37660 | Physician/surgeon | 2008-04-24 ~ 2009-05-31 |
| Lesa N Owen · Harrell-bond | 1031 Unfon St, Kingsport, TN 37660 | Licensed Practical Nurse | 2004-05-20 ~ 2005-07-31 |
| Viktor P Sulkowski | 516 D Fleetwood St, Kingsport, TN 37660 | Physician/surgeon | 2005-05-13 ~ 2006-05-31 |
| Jean G Dependleton | 3916 Rocky Hill Lane, Kingsport, TN 37660 | Registered Nurse | 2007-01-22 ~ 2008-03-31 |
| Mary E Collins | 2601 N. John B. Dennis Highway, Unit 2618, Kingsport, TN 37660 | Registered Nurse | 2004-09-21 ~ 2004-12-31 |
| Laferney Inc | 2642 Sullivan Gardens Pkwy, Kingsport, TN 37660 | Major Contractor | 2001-07-01 ~ 2002-06-30 |
| Frances P. Perry | 2716 Berkshire Lane, Kingsport, TN 37660 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Stephen F Kappa | 1033 Stagshaw Lane, Kingsport, TN 37660 | Emergency Medical Technician | 2005-06-27 ~ 2007-04-01 |
| Bethany M Rock | 1045 Union St Apt L2, Kingsport, TN 37660-1295 | Registered Nurse - Temporary | 2013-04-02 ~ 2013-07-30 |
| Find all Licenses in zip 37660 | |||
| City | kingsport |
| Zip Code | 37660 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + kingsport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alph Emmanuel | 248 Main St, Unionville, CT 06085-1148 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel K Amoah Dds | 11-3 Kent Ct, Ashford, CT 06278-1529 | Controlled Substance Registration for Practitioner | 2009-03-07 ~ 2011-02-28 |
| Emmanuel Javier Md | 42 Woodside Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Emmanuel A Ofori | 22 E 96th St Apt 4c, Brooklyn, NY 11212-3780 | Controlled Substance Registration for Practitioner | 2015-06-12 ~ 2017-02-28 |
| Emmanuel L Kuyinu | 9211 Havencrest Dr, Houston, TX 77083-5817 | Controlled Substance Registration for Practitioner | 2017-05-23 ~ 2019-02-28 |
| Emmanuel U Ekeke | 1356 E 104th St, Brooklyn, NY 11236-4508 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Emmanuel Logiadis Md | 999 Silver Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel E Okon Md | 1455 Washington Bvld Apt 433, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2009-04-28 ~ 2011-02-28 |
| Emmanuel O Onasile | 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| 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 |
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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).