OLUMUYIWA O ADEBOYE MD (Credential# 565112) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
OLUMUYIWA O ADEBOYE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047530. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 3400 W Princeton Street, Broken Arrow, OK 74012. The current status is inactive.
| Licensee Name | OLUMUYIWA O ADEBOYE MD |
| Credential ID | 565112 |
| Credential Number | 1.047530 |
| Credential Type | Physician/Surgeon |
| Business Address |
3400 W Princeton Street Broken Arrow OK 74012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-04-02 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 447815 | CSP.0040403 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-11-27 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 3400 W PRINCETON STREET |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew C Higgins | 3712 W Iola, Broken Arrow, OK 74012 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
| David L Arnold | 1001 E Tacoma Street, Broken Arrow, OK 74012 | Professional Engineer | 2006-02-13 ~ 2007-01-31 |
| Kadiri V Venkatesha | 3205 W Hartford Street, Broken Arrow, OK 74012 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Henry S Dangerfield Jr · O | 805 North Hemlock Avenue, Broken Arrow, OK 74012 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Gary R Field | 2208 Edgewater, Broken Arrow, OK 74012 | Fire Protection Limited Contractor | ~ |
| William H Shuler | 715 36th Street Nw, Broken Arrow, OK 74012 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Douglas D Heinrichs | 1413 E Concord St, Broken Arrow, OK 74012 | Architect | 2008-08-01 ~ 2009-07-31 |
| William R Ridgeway | 1314 E Concord Place, Broken Arrow, OK 74012 | Architect | 1997-08-01 ~ 1998-07-31 |
| Eunice A Aghauche | 1302 West Pittsburg Pl, Broken Arrow, OK 74012 | Registered Nurse | 2008-06-23 ~ 2009-06-30 |
| Donella Cotter | 1612 S Fir Ave, Broken Arrow, OK 74012 | Registered Nurse | 2000-07-25 ~ 2000-12-31 |
| Find all Licenses in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BROKEN ARROW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olumuyiwa Adebayo Gisanrin | 44 Queens Ct, Newport News, VA 23606-2064 | Physician/surgeon | 2020-03-10 ~ 2020-09-30 |
| Olumuyiwa O Olapinsin | 1 East Ln Apt F, Bloomfield, CT 06002-3451 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Olumuyiwa S Aworanti | 165 Winfield Dr, New Britain, CT 06053 | Registered Nurse | 2007-06-27 ~ 2008-07-31 |
| Olumuyiwa M Adebambo | 432 Indian Ave, Bridgeport, CT 06606-3905 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Adeboye Daini | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2006-01-24 ~ 2008-01-23 |
| Nimota A Adeboye | 3086 Staglin Dr, Powder Springs, GA 30127-5082 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Adeboye A Daini | 40 Pearl Harbor Circle, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Oladapo Adeboye | 860 Prospect Hill Rd, Windsor, CT 06095 | Medication Administration Certification | 2018-03-22 ~ 2020-03-21 |
| Esther Adeboye | 169 Vernon Avenue, Vernon, CT 06066 | Medication Administration Certification | 2019-09-12 ~ 2021-09-11 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on OLUMUYIWA O ADEBOYE MD.
| 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).