KEVIN K CHUNG DMD (Credential# 1037142) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 13, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
KEVIN K CHUNG DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051539. The credential type is controlled substance registration for practitioner. The effective date is October 13, 2011. The expiration date is February 28, 2013. The business address is 501 Parsons Blvd, Whitestone, NY 11357-1024. The current status is inactive.
| Licensee Name | KEVIN K CHUNG DMD |
| Credential ID | 1037142 |
| Credential Number | CSP.0051539 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
501 Parsons Blvd Whitestone NY 11357-1024 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-10-13 |
| Effective Date | 2011-10-13 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1028040 | 2.010642 | Dentist | 2011-10-03 | 2011-10-03 - 2012-10-31 | INACTIVE |
| Street Address | 501 PARSONS BLVD |
| City | WHITESTONE |
| State | NY |
| Zip Code | 11357-1024 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Yang | 150-51 21 Ave, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Eun Mi Kim | 154-21 20th Ave, Whitestone, NY 11357 | Nail Technician | ~ |
| Seunghee Hyojin Jin | 157-26 19th Ave, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Chi H Na | 166-03 20th Avenue, Whitestone, NY 11357 | Nail Technician | ~ |
| Hannah Hyeran Lim | 16071 Willets Pnt B1, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Xuelong Cui | 147 35 19th Ave, Flushing, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Dawoon Oh | 147-47 24th Ave, Whitestone, NY 11357 | Nail Technician | ~ |
| Jiao Wang | 1589 144th Street, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mi Sun Kang | 2320 Parsons Blvd, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-10-31 |
| Yun Sook Park | 1651 Clintonvill 1st, Whitestone, NY 11357 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 11357 | |||
| City | WHITESTONE |
| Zip Code | 11357 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WHITESTONE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ji Hye Chung | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kenneth Chung | 266 Pearl St Apt 306, Hartford, CT 06103-2012 | Controlled Substance Registration for Practitioner | 2013-04-22 ~ 2015-02-28 |
| Helen H Chung | 644 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Chung K Kim | 20 Main St Ste 17, Windsor Locks, CT 06096-2345 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jin Ho Chung | 100 Cougar Drive, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ho R Chung | 170 W. Main St Apt 205k, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James H Chung Md | 10 Deepwood Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Juyeon Chung | 92 Maplewood Ave, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chung-jyi Tsai | 644 Clinton Ln, Highland Heights, OH 44143-1961 | Controlled Substance Registration for Practitioner | 2017-07-14 ~ 2019-02-28 |
| Edward Y Chung Md | 14 Locust Crest Ct, Poughkeepsie, NY 12603 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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| 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).