SIMON KIM (Credential# 1176061) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 24, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SIMON KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055678. The credential type is controlled substance registration for practitioner. The effective date is July 24, 2013. The expiration date is February 28, 2015. The business address is Po Box 208058, New Haven, CT 06520-8058. The current status is inactive.
| Licensee Name | SIMON KIM |
| Credential ID | 1176061 |
| Credential Number | CSP.0055678 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 208058 New Haven CT 06520-8058 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-07-24 |
| Effective Date | 2013-07-24 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1156446 | 1.052043 | Physician/Surgeon | 2013-05-28 | 2014-01-01 - 2014-12-31 | INACTIVE |
| Street Address | PO BOX 208058 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8058 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toby C. Chai | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert M Weiss | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marianne G Passarelli | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam B Hittelman Md | Department of Urology, Yale School of Medicine, New Haven, CT 06520-8058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gnana S Simon | 925 Mix Ave Apt 1k, Hamden, CT 06514-5118 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Simon C Lee Md | 320 Pomfret St, Putnam, CT 06260-1869 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Margo D Simon Md | 982 E Main St, Bridgeport, CT 06608-1913 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Simon Kornberg | 129 Glover Ave, Norwalk, CT 06850-1345 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Simon Wong | 43 Mattoon St, Springfield, MA 01105 | Controlled Substance Registration for Practitioner | 2001-03-07 ~ 2002-02-28 |
| Jonathan T Simon Md | 22 Westfield Ave, Ansonia, CT 06401-1158 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simon Y Bangiyev | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simon H Chin | 18 Glendover Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Simon Li | 16 Hettiefred Road, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Simon J Shapiro | 22 Locust St, Greenwich, CT 06830-6317 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SIMON 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).