NANCY KIM MD (Credential# 236748) 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 ACTIVE.
NANCY KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029518. 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 Sunset Hill Dr, Branford, CT 06405. The current status is active.
| Licensee Name | NANCY KIM MD |
| Credential ID | 236748 |
| Credential Number | CSP.0029518 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Sunset Hill Dr Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-05-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556231 | 1.038643 | Physician/Surgeon | 2000-05-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 15 SUNSET HILL DR |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zag Vending · David T Gallipoli Dba | 15 Sunset Hill Dr, Branford, CT 06405 | Vending Machine Operator | 1997-07-11 ~ 1998-06-30 |
| David J Gallipoli · David Gallipoli Const Inc | 15 Sunset Hill Dr, Branford, CT 06405 | Home Improvement Contractor | 1995-09-01 ~ 1996-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy E Austin | Po Box 926, Putnam, CT 06260-0926 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy M Yip | P. O. Box 200541, New Haven, CT 06520-0541 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nancy Mgn Dubois | 30 Chiltern St, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Nancy Grover | 282 Washington St, Hartford, NJ 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy Moriber Aprn | Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy L Ramsey Pa | 394 E Park St, Westerville, OH 43081-1750 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nancy C Amberson Md | 50 Unquowa Pl, Fairfield, CT 06824-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy M Krulikowski | 161 Ruela Dr, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy C Sheehan | 181 Ridgefield Dr, Middletown, CT 06457-6543 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy E Moran Dvm | 400 Center St, Wolcott, CT 06716 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on NANCY KIM MD.
| 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).