HENRY ODUNLAMI
Physician/surgeon


Address: 7214 Town Ridge, Middletown, CT 06457

HENRY ODUNLAMI (Credential# 556725) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 22, 2002. The license expiration date date is October 31, 2003. The license status is INACTIVE.

Business Overview

HENRY ODUNLAMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039137. The credential type is physician/surgeon. The effective date is November 22, 2002. The expiration date is October 31, 2003. The business address is 7214 Town Ridge, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name HENRY ODUNLAMI
Credential ID 556725
Credential Number 1.039137
Credential Type Physician/Surgeon
Business Address 7214 Town Ridge
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-11-30
Effective Date 2002-11-22
Expiration Date 2003-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
257619 CSP.0030424 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-04 - 2003-02-28 INACTIVE

Office Location

Street Address 7214 TOWN RIDGE
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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Dataset Information

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).

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