OLUTAYO T OLABIGE MD (Credential# 948810) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
OLUTAYO T OLABIGE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048573. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 14 Sandpiper Ln, Rexford, NY 12148-1384. The current status is inactive.
| Licensee Name | OLUTAYO T OLABIGE MD |
| Credential ID | 948810 |
| Credential Number | CSP.0048573 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 Sandpiper Ln Rexford NY 12148-1384 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-09-08 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563242 | 1.045660 | Physician/Surgeon | 2007-07-19 | 2012-10-01 - 2013-09-30 | INACTIVE |
| Street Address | 14 SANDPIPER LN |
| City | REXFORD |
| State | NY |
| Zip Code | 12148-1384 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Isopo | 32 Bradt Road, Rexford, NY 12148 | Registered Nurse | 2020-03-03 ~ 2020-12-31 |
| Mohammad A Osmani | 15 Addison Way, Rexford, NY 12148 | Pharmacist | 2020-02-02 ~ 2022-01-31 |
| John S Stevens | 6 Taylor Dr, Rexford, NY 12148 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kenneth D Syvertsen | 3 Clute Circle, Rexford, NY 12148 | Architect | 2019-08-01 ~ 2020-07-31 |
| Mark A Phillips | 4 Brian Dr, Rexforp, NY 12148 | Home Improvement Salesperson | 2005-03-01 ~ 2005-11-30 |
| Linda K Walmet | 23 Bradt Rd, Rexford, NY 12148 | Registered Nurse | 1996-03-21 ~ 1997-05-31 |
| George F Simor | 4 Lynn Court, Rexford, NY 12148 | Physician/surgeon | 1998-01-07 ~ 1999-02-28 |
| Matthew J Kresge | 4 Maryland Court, Rexford, NY 12148 | Physician Assistant | 2005-08-17 ~ 2006-09-30 |
| Robert P Dicocco | 43 Garnsey Rd, Rexford, NY 12148 | Heating, Piping & Cooling Limited Contractor | ~ 1995-10-01 |
| John M Gionet | 971 Grooms Rd, Rexford, NY 12148 | Pharmacist | ~ |
| Find all Licenses in zip 12148 | |||
| City | REXFORD |
| Zip Code | 12148 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + REXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olutayo T Imevbore Md | 8 Greenwood Ln, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Noel H Seicol Md | Po Box 436, Rye, NY 10580-0436 | Controlled Substance Registration for Practitioner | 2011-03-11 ~ 2013-02-28 |
Please comment or provide details below to improve the information on OLUTAYO T OLABIGE 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).