DIANE KIM (Credential# 1490347) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
DIANE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060506. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 65 Katherine Ct, Shelton, CT 06484-4336. The current status is active.
| Licensee Name | DIANE KIM |
| Credential ID | 1490347 |
| Credential Number | 1.060506 |
| Credential Type | Physician/Surgeon |
| Business Address |
65 Katherine Ct Shelton CT 06484-4336 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-02 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-05 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Kim | 122 Eagle St, New Haven, CT 06511 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Street Address | 65 KATHERINE CT |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4336 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederick N Parmalee Cpa LLC | 64 Katherine Ct, Shelton, CT 06484-4336 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Ann M Wilmot-santana | 70 Katherine Ct, Shelton, CT 06484-4336 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Shahla Yassir | 71 Katherine Ct, Shelton, CT 06484-4336 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane M Aslanis Do | Hartford, CT 06105 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Diane C Lorusso | 4 Flagler Dr, Rye, NY 10580-1850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Diane D Wirz | 42 Fairmount Dr., Danbury, CT 06811 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Diane K Jorkasky | 60 Manor Ave, Wellesley, MA 02482-1032 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Diane C Rudolph | 15 E 75th St, New York, NY 10021-2660 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Diane Dickinson | Po Box 1127, Arcata, CA 95518-1127 | Physician/surgeon | 2020-06-20 ~ 2020-11-30 |
| Diane Lusas | Po Box 5290, Brookfield, CT 06804-5290 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Diane K Hankes Do | 400 Skyloft Dr Apt 302, Asheville, NC 28801-1951 | Physician/surgeon | 2009-02-09 ~ 2009-11-30 |
| Diane W Mickley Md | 200 Pemberwick Rd Ste 12, Greenwich, CT 06831-4236 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Diane L. Ainsworth | 700 White Plains Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
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| 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).