STEVEN C KIM
Controlled Substance Registration for Practitioner


Address: 217 Davey St Apt D, Bloomfield, NJ 07003-6148

STEVEN C KIM (Credential# 1421026) 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 INACTIVE.

Business Overview

STEVEN C KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065286. 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 217 Davey St Apt D, Bloomfield, NJ 07003-6148. The current status is inactive.

Basic Information

Licensee Name STEVEN C KIM
Credential ID 1421026
Credential Number CSP.0065286
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 217 Davey St Apt D
Bloomfield
NJ 07003-6148
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2017-05-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1416074 2.011801 Dentist 2017-04-28 2018-08-01 - 2019-07-31 INACTIVE

Office Location

Street Address 217 DAVEY ST APT D
City BLOOMFIELD
State NJ
Zip Code 07003-6148

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Competitor

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City BLOOMFIELD
Zip Code 07003
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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