JI HYUN KIM (Credential# 1318011) 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.
JI HYUN KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061671. 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 24 Woodford Hills Drive, Avon, CT 06001. The current status is active.
| Licensee Name | JI HYUN KIM |
| Credential ID | 1318011 |
| Credential Number | CSP.0061671 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
24 Woodford Hills Drive Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 994024 | 2.010500 | Dentist | 2011-04-29 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1006916 | CSP.0050786 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-18 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 24 Woodford Hills Drive |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyun A Kim | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hyun S Kim | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Moo Hyun Kim | 301 29th Ave N Apt 112, Nashville, TN 37203-2273 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hyun Won Shin Dds | 422 Main St Fl 1, Fort Lee, NJ 07024-2861 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Chi Hyun Cho | 2335 Dixwell Ave., Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ji Hyun Lee | 1192 Farmington Ave., Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jung Hyun Kim | 110 Salem Turnpike, Norwich, CT 06360-5335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soo Hyun Kwon | 333 Cedar Street, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jin Hyun Chung | 1955 1st Avenue, New York, NY 10029 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hyun Kyu Kang | 2 Main St Unit 111, Edgewater, NJ 07020-1704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JI HYUN 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).