AYODOLE K GREEN MD (Credential# 536632) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
AYODOLE K GREEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045729. The credential type is controlled substance registration for practitioner. The effective date is July 2, 2009. The expiration date is February 28, 2011. The business address is 15 E Devonia Ave, Mount Vernon, NY 10552-1006. The current status is inactive.
| Licensee Name | AYODOLE K GREEN MD |
| Credential ID | 536632 |
| Credential Number | CSP.0045729 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 E Devonia Ave Mount Vernon NY 10552-1006 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-07-02 |
| Effective Date | 2009-07-02 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565388 | 1.047806 | Physician/Surgeon | 2009-06-16 | 2009-06-16 - 2010-04-30 | INACTIVE |
| Street Address | 15 E Devonia Ave |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-1006 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia M Spencer | 180 Pearsall Dr#1e, Mt Vernon, NY 10552 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Celeste M Bruno | 108 E. Birch St, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Brenda L Thomas | 9 Chesterwood Avenue, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Valeta V Bryant | 27 Vernon Place, Mt. Vernon, NY 10552 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Nadia Antoine-williams | 395 Gramatan Ave, Mt Vernon, NY 10552 | Registered Nurse - Temporary | 2020-04-14 ~ 2020-08-12 |
| Millicent R Thomas | 205 Bradley Avenue, Mount Vernon, NY 10552 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa Marie Sequinot | 531 E. Lincoln Ave Apt #1l, Mount Vernon, NY 10552 | Registered Nurse - Temporary | 2020-03-10 ~ 2020-07-08 |
| Tenille T Cameron | 211 Westchester Ave, Mount Vernon, NY 10552 | Licensed Practical Nurse | ~ |
| Eldorine F Manning | 58 Parkway South, Mt Vernon, NY 10552 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Idesta Adams | 80 William Street, Mount Vernon, NY 10552 | Notary Public Appointment | 2019-12-12 ~ 2024-12-31 |
| Find all Licenses in zip 10552 | |||
| City | MOUNT VERNON |
| Zip Code | 10552 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOUNT VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Green | P.o. Box 88, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| John L Green Md | 46 Old Asylum Rd, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Philip E Shapiro | 140 Green Rd, Meriden, CT 06450-6612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward J Opalacz Md | 66 Green Ln, Durham, CT 06422-1903 | Controlled Substance Registration for Practitioner | 2010-04-15 ~ 2011-02-28 |
| Susan M Green | 52 Lawn Ave, Jamestown, RI 02835-1038 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daniel W Green | 535 E 70th St, New York, NY 10021-4823 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Walter Green | 527 Chapel St Apt B3, New Haven, CT 06511-6908 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Federico Rossi Md | 237 Green St Apt #1, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arsenio M Bustos Md | 907 Green Cir, Orange, CT 06477-1737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott A Green Do | 35 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).