JI HYUN LEE
Controlled Substance Registration for Practitioner


Address: 1192 Farmington Ave., Bristol, CT 06010

JI HYUN LEE (Credential# 1298058) 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

JI HYUN LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060916. 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 1192 Farmington Ave., Bristol, CT 06010. The current status is lapsed.

Basic Information

Licensee Name JI HYUN LEE
Credential ID 1298058
Credential Number CSP.0060916
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1192 Farmington Ave.
Bristol
CT 06010
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-07-06
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
1275209 2.011436 Dentist 2015-07-01 2016-08-01 - 2017-07-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Ji Hyun Lee 30-07 Francis Lewis Blvd, Flushing, NY 11358 Combination Nail Technician, Esthetician Or Eyelash Technici ~

Office Location

Street Address 1192 Farmington Ave.
City Bristol
State CT
Zip Code 06010

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Deborah M Dube · Adamaitis 33 Peck Lane, Bristol, CT 06010 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Tara M Chipman 38 Grove St, Bristol, CT 06010 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jaclyn J Brandolini 424 Emmett St, Bristol, CT 06010 Registered Nurse 2020-07-01 ~ 2021-06-30
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Barbara E Trench 25 Peacedale St, Bristol, CT 06010 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Tisha A Balfour 379 West Street, Bristol, CT 06010 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Meredith Rose Martineau 15 Bishop Street, Bristol, CT 06010 Master's Level Social Worker - Temporary Permit 2020-06-26 ~ 2020-09-06
Jaime L Krueger 130 Garfield Road, Bristol, CT 06010 Notary Public Appointment 2020-06-26 ~ 2025-06-30
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Competitor

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City Bristol
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bristol

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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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