JULIANA H KANG MD
Controlled Substance Registration for Practitioner


Address: 15 Copper Beech Lane, Farmington, CT 06032

JULIANA H KANG MD (Credential# 144431) 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

JULIANA H KANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008971. 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 15 Copper Beech Lane, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name JULIANA H KANG MD
Credential ID 144431
Credential Number CSP.0008971
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Copper Beech Lane
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 1999-03-01
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
541841 1.016288 Physician/Surgeon 1973-09-06 2018-08-01 - 2019-07-31 INACTIVE

Office Location

Street Address 15 COPPER BEECH LANE
City FARMINGTON
State CT
Zip Code 06032

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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Juliana E Lee Dvm 2005 Hillmeade Dr, Nashville, TN 37221-2267 Controlled Substance Registration for Practitioner 1994-08-02 ~ 1996-08-01
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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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