NKEMDILIM N NWOSA (Credential# 557861) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2006. The license expiration date date is September 30, 2007. The license status is INACTIVE.
NKEMDILIM N NWOSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040278. The credential type is physician/surgeon. The effective date is September 5, 2006. The expiration date is September 30, 2007. The business address is Medical Specialist Center, Nassau. The current status is inactive.
| Licensee Name | NKEMDILIM N NWOSA |
| Credential ID | 557861 |
| Credential Number | 1.040278 |
| Credential Type | Physician/Surgeon |
| Business Address |
Medical Specialist Center Nassau |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-03-27 |
| Effective Date | 2006-09-05 |
| Expiration Date | 2007-09-30 |
| Refresh Date | 2014-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 340183 | CSP.0033509 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | MEDICAL SPECIALIST CENTER |
| City | NASSAU |
| City | NASSAU |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NASSAU |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chinedu C Nwosa | 3312 Glenwood Rd., Brooklyn, NY 11210 | Physician/surgeon | 2006-11-01 ~ 2007-11-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on NKEMDILIM N NWOSA.
| 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).