MARISA ESTHER LEE KIM (Credential# 1642237) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARISA ESTHER LEE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070523. The credential type is controlled substance registration for practitioner. The effective date is March 27, 2019. The expiration date is February 28, 2021. The business address is 360 State Street, New Haven, CT 06510. The current status is active.
| Licensee Name | MARISA ESTHER LEE KIM |
| Credential ID | 1642237 |
| Credential Number | CSP.0070523 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
360 State Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-27 |
| Effective Date | 2019-03-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1594044 | 1.061896 | Physician/Surgeon | 2018-09-10 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 360 State Street |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evelyn C Abernathy | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ahmad Nawaz | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William Mclaughlin | 360 State Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Soshian Sarrafpour | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary Altwerger | 360 State Street, New Haven, CT 06510-1025 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Erica Ann Bloomberg | 360 State Street, New Haven, CT 06511 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shanti Narsibhai Patel | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tabitha P Brunton | 360 State Street, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Troy Edward Dominguez | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anees B Chagpar | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marisa A Reos Dmd | 333 E 102nd St Apt 533, New York, NY 10029-5661 | Controlled Substance Registration for Practitioner | 2008-12-04 ~ 2009-02-28 |
| Marisa A Brown | 152 Temple St Apt 106, New Haven, CT 06510-2607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marisa K Dematteo-santa | 488 Main Ave, Norwalk, CT 06851-1008 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marisa H Tseng | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Marisa B Rommeney | 1275 Summer St, Stamford, CT 06905-5359 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marisa C Terino | 6814 Law Dr, East Syracuse, NY 13057-9640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Esther S Lu Md | 3 Bear Den Rd, Trumbull, CT 06611-3320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Esther Son | 54 Island Course Ave, Las Vegas, NV 89148-2509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marisa J Lomanto Md | 412 Geese Lndg, Glen Allen, VA 23060-5877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Esther E Schlegel Pa | 734 Orange St, New Haven, CT 06511-2529 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MARISA ESTHER LEE 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).