JIEUN KWON
Controlled Substance Registration for Practitioner


Address: 322 Church St, Wallingford, CT 06492-2200

JIEUN KWON (Credential# 1275738) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JIEUN KWON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059785. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 322 Church St, Wallingford, CT 06492-2200. The current status is lapsed.

Basic Information

Licensee Name JIEUN KWON
Credential ID 1275738
Credential Number CSP.0059785
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 322 Church St
Wallingford
CT 06492-2200
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-04-02
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1246201 47.004017 Veterinarian 2014-10-08 2017-04-01 - 2018-03-31 INACTIVE

Office Location

Street Address 322 CHURCH ST
City WALLINGFORD
State CT
Zip Code 06492-2200

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Maytyme Farm Inc 376 Church St, Yalesville, CT 06492-2200 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
James P Wolfe · Jp Wolfe 396 Church St, Wallingford, CT 06492-2200 Home Improvement Contractor 2011-02-25 ~ 2011-11-30

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Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD

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Dataset Information

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).

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