KRISTIN M KIM (Credential# 1161355) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
KRISTIN M KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054640. The credential type is controlled substance registration for practitioner. The effective date is May 24, 2013. The expiration date is February 28, 2015. The business address is 1080 Ridge Rd, Hamden, CT 06517. The current status is inactive.
| Licensee Name | KRISTIN M KIM |
| Credential ID | 1161355 |
| Credential Number | CSP.0054640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1080 Ridge Rd Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-05-24 |
| Effective Date | 2013-05-24 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1156478 | 1.052018 | Physician/Surgeon | 2013-05-24 | 2013-11-01 - 2014-10-31 | INACTIVE |
| Street Address | 1080 Ridge Rd |
| City | Hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | Hamden |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin E D'aco | 547 Orange St Apt 4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-04-01 ~ 2011-02-28 |
| Kristin S Gildersleeve Md | Po Box 636, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin Hsieh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | ~ |
| Kristin S Sutcliffe | 30 Lisa Dr, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin C Lombardi | 69 Church St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-04-13 ~ 2013-02-28 |
| Kristin T Spengler | 136 Brookmere Dr, Fairfield, CT 06824-4516 | Controlled Substance Registration for Practitioner | 2019-09-11 ~ 2021-02-28 |
| Kristin L Richards | 926 Quinnipiac Ave #9, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2011-04-06 ~ 2013-02-28 |
| Kristin L Wiley | 15 W Rock Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin J Somerville | 20 Highwood Ave, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin K Mcdonough Pa-c | 15 Silver St, Milford, CT 06460-6232 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KRISTIN M KIM.
| 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).