NINA L KIM (Credential# 1086692) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
NINA L KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053404. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 12549 28th Ave Ne Apt 402, Seattle, WA 98125-4394. The current status is inactive.
Licensee Name | NINA L KIM |
Credential ID | 1086692 |
Credential Number | CSP.0053404 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
12549 28th Ave Ne Apt 402 Seattle WA 98125-4394 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2012-08-09 |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1078656 | 2.010810 | Dentist | 2012-07-17 | 2014-08-01 - 2015-07-31 | INACTIVE |
Street Address | 12549 28TH AVE NE APT 402 |
City | SEATTLE |
State | WA |
Zip Code | 98125-4394 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Olwen Bode | 12334 31st Ave Ne Apt 603, Seattle, WA 98125 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Bradley T Carmichael | 12721 30th Ave Ne, Seattle, WA 98125 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Parag Santhosh | 3031 Ne 137th Street, Seattle, WA 98125 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Miriam L Necula | 1505 Ne 105th, Seattle, WA 98125 | Registered Nurse | ~ 1999-05-31 |
Adah F Wright · Franklin | 12026 15th Ave., Seattle, WA 98125 | Licensed Clinical Social Worker | 1996-05-08 ~ 1997-05-31 |
Elizabeth M Carver | 1526 Ne 143rd St, Seattle, WA 98125 | Registered Nurse | 1997-04-01 ~ 1998-03-31 |
Seth B Miller | 11014 39th Ave Ne, Seattle, WA 98125 | Speech and Language Pathologist | 1998-01-28 ~ 1998-10-31 |
Alvin Eller | 12739 42nd Ave Ne, Seattle, WA 98125 | Dentist | 1992-11-24 ~ 1993-12-31 |
Sherri A Antonucci | 12002 Roosevelt Way, Seattle, WA 98125 | Physical Therapist | ~ 1996-03-31 |
Linda F Billingsley | 13731 23rd Place Ne, Seattle, WA 98125 | Dental Hygienist | 1999-09-28 ~ 2000-11-30 |
Find all Licenses in zip 98125 |
City | SEATTLE |
Zip Code | 98125 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SEATTLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nina S Livingston Md | Po Box 266, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nina Y Ho | 525 Mandana Apt #311, Oakland, CA 94610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nina S Idnani Md | 51 Cedar Ln, Ossining, NY 10562 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nina Nandy | 100 Wells St Apt 903, Hartford, CT 06103-2910 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nina Erlanger | 17 Crestview Dr, Madison, CT 06443-1874 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nina S Karol | 333 Post Rd W, Westport, CT 06880-4701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nina Konstantinova Md | 2447 Whitney Ave, Hamden, CT 06518-3211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nina Trinh Tran | 97 Lyon St # 3, New Haven, CT 06511-4925 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
Nina N Brodsky | 21 Janice Road, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nina Kadan-lottick Md | 333 Cedar St, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).