GI TAE KWON (Credential# 1436397) 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.
GI TAE KWON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066220. 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 4003 Maple Tree Ln, East Lyme, CT 06333-1671. The current status is active.
| Licensee Name | GI TAE KWON |
| Credential ID | 1436397 |
| Credential Number | CSP.0066220 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4003 Maple Tree Ln East Lyme CT 06333-1671 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427987 | 2.011856 | Dentist | 2017-07-03 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1435200 | CSM.0001228 | MANUFACTURER OF DRUGS, COSMETICS & MEDICAL DEVICES | - | INACTIVE |
| Street Address | 4003 MAPLE TREE LN |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1671 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwon V Lau | 129 York St Apt 3d, New Haven, CT 06511-5616 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Bo Y Kwon Od | 25-604 Barker St #604, Mt Kisco, NY 10549 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jieun Kwon | 322 Church St, Wallingford, CT 06492-2200 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anne Kwon | 7 Woods End Rd, Lagrangeville, NY 12540-5913 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Yanghee Kwon | 14 Main St Apt 3b, Gardner, MA 01440-2650 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lawrence H. Kwon | 26 Macarthur Ave., Closter, NJ 07624 | Controlled Substance Registration for Practitioner | 2015-04-19 ~ 2017-02-28 |
| Seokwon Kwon | 320 Boston Ave, Stratford, CT 06614-5213 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chan Kwon Chung | 20 Front St Apt 410, Hartford, CT 06103-2850 | Controlled Substance Registration for Practitioner | ~ |
| Soo Hyun Kwon | 333 Cedar Street, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chia-hui J Kwon | 1011 Main St, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GI TAE KWON.
| 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).