IKENNA E OBASI (Credential# 936926) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 19, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
IKENNA E OBASI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048999. The credential type is physician/surgeon. The effective date is July 19, 2010. The expiration date is April 30, 2011. The business address is 2000 Norway Pine Drive, Plover, WI 54467. The current status is inactive.
| Licensee Name | IKENNA E OBASI |
| Credential ID | 936926 |
| Credential Number | 1.048999 |
| Credential Type | Physician/Surgeon |
| Business Address |
2000 Norway Pine Drive Plover WI 54467 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-07-19 |
| Effective Date | 2010-07-19 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 947489 | CSP.0048462 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-30 | 2010-08-30 - 2011-02-28 | INACTIVE |
| Street Address | 2000 norway pine drive |
| City | plover |
| State | WI |
| Zip Code | 54467 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay M Hartz | 2401 Shadow View Cir, Plover, WI 54467 | Physician/surgeon | 1995-06-30 ~ 1996-07-31 |
| Banta Global Turnkey Ltd | 1600 Disk Dr, Plover, WI 54467-3131 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| International Center of Injury Prevention | 230 Black Forest Drive, Plover, WI 54467-3138 | Public Charity | ~ |
| Jerold L Seger | 325 Hoover Ave, Plover, WI 54467-4119 | Public Service Technician - Telephone | 2011-09-06 ~ 2012-09-30 |
| City | plover |
| Zip Code | 54467 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + plover |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ikenna K Onuoha | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Patience O Obasi | 91 Woodmere Rd, Waterbury, CT 06705-2532 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
| Chidi Obasi | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2010-06-09 ~ 2012-06-08 |
| Ikenna Osuoha | 2551 Cruger Ave Apt 2, Bronx, NY 10467-7520 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ikenna P Okechukwu | 228 New State Rd Apt A, Manchester, CT 06042-7950 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Ikenna Onukogu | 9 Thistle Way, Broad Brook, CT 06016-9414 | Home Improvement Salesperson | 2019-11-07 ~ 2020-11-30 |
| Ikenna G Obi | 1619 Ella T Grasso Blvd, New Haven, CT 06511 | Pharmacy Technician | 2016-11-18 ~ 2017-03-31 |
| Ikenna J Osuoha-okirike | 2551 Cruger Ave Apt 2, Bronx, NY 10467-7520 | Pharmacy Intern | 2017-11-28 ~ 2017-12-31 |
| Ikenna C Ibe | 11504 Country Oaks Way, Glen Allen, VA 23059-8509 | Controlled Substance Registration for Practitioner | 2015-04-05 ~ 2017-02-28 |
Please comment or provide details below to improve the information on IKENNA E OBASI.
| 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).