DIANE KIM (Credential# 1587081) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DIANE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.153399. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 122 Eagle St, New Haven, CT 06511. The current status is active.
| Licensee Name | DIANE KIM |
| Credential ID | 1587081 |
| Credential Number | 10.153399 |
| Credential Type | Registered Nurse |
| Business Address |
122 Eagle St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-22 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-02 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane Kim | 65 Katherine Ct, Shelton, CT 06484-4336 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Street Address | 122 Eagle St |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Camille Lawhead | 122 Eagle St, New Haven, CT 06511-2632 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane H Kim | 332 Front St., #2, New Haven, CT 06513 | Registered Nurse | 2006-07-28 ~ 2007-09-30 |
| Diane Dibernardi | 5 Bretton Pl, Middletown, CT 06457-4108 | Registered Nurse | ~ |
| Diane C Rosenthal | Rr #1 Box 394, Pittsford, VT 05763 | Registered Nurse | 1992-08-26 ~ 1993-09-30 |
| Diane Azizi | 53 Hillbright Ter, Yonkers, NY 10703-2015 | Registered Nurse | ~ |
| Diane J Rudniski | Box 195, Raymore Sk, S0A 3J0 | Registered Nurse | 1997-06-16 ~ 1998-06-30 |
| Diane L Audette | Po Box 737, Naugatuck, CT 06770-0737 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Diane Becker | P O Box 511, Killington, VT 05751 | Registered Nurse | 1993-07-23 ~ 1994-06-30 |
| Diane K Kanca | 40 Soundview Ave, Rye, NY 10580 | Registered Nurse | 1994-08-17 ~ 1995-10-31 |
| Diane E Englert | B4, Clinton, NY 13323 | Registered Nurse | 2000-10-10 ~ 2001-09-30 |
| Diane E Haley | 19 Welcome Pl, Manchester, CT 06040-3720 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
Please comment or provide details below to improve the information on DIANE 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).