IBITORO OSAKWE
Physician/surgeon


Address: 3035 Phelps Rd, West Suffield, CT 06093-3027

IBITORO OSAKWE (Credential# 559478) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

IBITORO OSAKWE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041895. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3035 Phelps Rd, West Suffield, CT 06093-3027. The current status is active.

Basic Information

Licensee Name IBITORO OSAKWE
Credential ID 559478
Credential Number 1.041895
Credential Type Physician/Surgeon
Business Address 3035 Phelps Rd
West Suffield
CT 06093-3027
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-10-02
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-06

Other licenses

ID Credential Code Credential Type Issue Term Status
354289 CSP.0034225 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 3035 PHELPS RD
City WEST SUFFIELD
State CT
Zip Code 06093-3027

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Licensee Name Office Address Credential Effective / Expiration
Michael J Grillo · Grillo Brothers 188 Birch Rd, West Suffield, CT 06093 Home Improvement Contractor 2020-06-27 ~ 2020-11-30
Pediatric Prosthetic Specialists LLC 75c Hazard Ave, Enfield, CT 06093 Manufacturer of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Lawrence P Kraiza 279 South Grand St., West Suffield, CT 06093 Sub-surface Sewage Installer 2020-07-01 ~ 2021-06-30
Victoria I Nocik 1091 Sheldon Street, West Suffield, CT 06093 Real Estate Salesperson ~
Bojana Dukanovic 282 Colony Rd, West Suffield, CT 06093 Architect 2020-08-01 ~ 2021-07-31
Heather Van Deusen 3749 Phelps Rd, W Suffield, CT 06093 Architect 2020-08-01 ~ 2021-07-31
Sydney J Waicunas 1728 Mountain Road, West Suffield, CT 06093 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2022-03-31
Alaina V De Cesare · Andreyev 55 Ridgewood Drive, West Suffield, CT 06093 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Christina D Bray-smith 2 South Grand Street, West Suffield, CT 06093 Registered Nurse 2020-07-01 ~ 2021-06-30
Julie Kristin Brookman 2 Warnertown Road, West Suffield, CT 06093 Esthetician ~
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Competitor

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City WEST SUFFIELD
Zip Code 06093
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST SUFFIELD

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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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