MIN KYEONG KIM (Credential# 1681484) is licensed (Resident Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MIN KYEONG KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012609-RES. The credential type is resident dentist. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 263 Farmington Avenue, Farmington, CT 06030. The current status is active.
| Licensee Name | MIN KYEONG KIM |
| Credential ID | 1681484 |
| Credential Number | 2.012609-RES |
| Credential Type | Resident Dentist |
| Credential SubCategory | RES |
| Business Address |
263 Farmington Avenue Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-22 |
| Street Address | 263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Davis Aasen | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Christopher D Lemoine | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Dylan Buller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Lindelof | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Colin J Pavano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Barrett B Torre | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Samantha Slattery | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ethan A Miller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Patrick Bergamo | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Shriya Gupta | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Resident Dentist |
| License Type + County | Resident Dentist + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeong-bin Im | 400 Stillson Rd, Fairfield, CT 06824 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Min Kyeong Jo | 47 Bennett Ave, Binghamton, NY 13905 | Registered Nurse | 2008-09-05 ~ 2008-12-31 |
| Kyeong S Park | 29-21 213th St., Bayside, NY 11360 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Kyeong Jae Lee | Hangang-daero 259, Yongsan-gu, Seoul, KR 04322 | Architect | 2019-08-01 ~ 2020-07-31 |
| Kyeong Mi Yi | 210 - 11 56th Avenue, Oakland Gardens, NY 11364 | Hairdresser/cosmetician | 2013-09-01 ~ 2015-08-31 |
| Mi Kyeong Yang | 424 North Main St., East Longmeadow, MA 01028 | Hairdresser/cosmetician | 2007-06-22 ~ 2008-12-31 |
| Joseph J Lee | New Britain, CT 06053 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
| Tae W Kwon | Hartford, CT 06103 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
| Andrea G Bermudez | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2018-06-30 |
| Sara Ehsani | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2018-06-30 |
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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).