MATTHEW M KIM (Credential# 1216922) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW M KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057001. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 838 High Ridge Rd Ste 202, Stamford, CT 06905-1913. The current status is active.
| Licensee Name | MATTHEW M KIM |
| Credential ID | 1216922 |
| Credential Number | CSP.0057001 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
838 High Ridge Rd Ste 202 Stamford CT 06905-1913 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-05-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1173080 | 2.011039 | Dentist | 2013-08-14 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 838 HIGH RIDGE RD STE 202 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-1913 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Team Coffee Cakes LLC · Nothing Bundt Cakes | 838 High Ridge Rd, Stamford, CT 06905-1913 | Bakery | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew J Horne | 123 York St 12-d, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-05-19 ~ 2011-02-28 |
| Matthew G Steele | 10 E Shore Rd, Ellington, CT 06029-3114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew V Moyer | 6 Pleasant St, Cromwell, CT 06416-2322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew K Schindler | 545 Orange St, New Haven, CT 06511-3835 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nathalie Mcconnell | 142 Matthew Ave, Westerville, OH 43081-1874 | Controlled Substance Registration for Practitioner | 2020-03-15 ~ 2021-02-28 |
| Matthew D Mancini | 57 Barrington Ln, Waterbury, CT 06708-3901 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew A Cissell Pa-c | 40 Prospect Ave Apt 1-1g, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2011-10-17 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MATTHEW 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).