SEAN HYUNGBEOM KIM DDS (Credential# 239707) 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.
SEAN HYUNGBEOM KIM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029817. 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 115 Bridge St, Groton, CT 06340. The current status is active.
| Licensee Name | SEAN HYUNGBEOM KIM DDS |
| Credential ID | 239707 |
| Credential Number | CSP.0029817 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
115 Bridge St Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-07-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703168 | 2.008716 | Dentist | 2000-02-23 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 115 BRIDGE ST |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vincent J Antonelli Dds | 115 Bridge St, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Mckeon Dds | 115 Bridge St, Groton, CT 06340 | Dentist | 2007-07-17 ~ 2008-04-30 |
| Monserrat Jorden | 115 Bridge St, Groton, CT 06340 | Dentist | 2004-07-23 ~ 2005-08-31 |
| John T Curtiss Dmd | 115 Bridge St, Groton, CT 06340 | Dentist | 2003-03-25 ~ 2004-05-31 |
| Michael Kwong Dds | 115 Bridge St, Groton, CT 06340 | Dentist | 1998-07-02 ~ 1999-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sean M Esmende | 31 Seymour St Ste 100, Hartford, CT 06106-5525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean R Wilson | 750 Whitney Ave Apt A13, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Sean Lazarus Dpm | 920 Little Meadow Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean Desilva | 111 Park St Apt 14l, New Haven, CT 06511-5466 | Controlled Substance Registration for Practitioner | 2014-09-05 ~ 2015-02-28 |
| Sean J Collins | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2015-05-27 ~ 2017-02-28 |
| Sean T Patrick Dds | 47 Town St, Norwich, CT 06360-2315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sean T West Od | 49 Gatehouse Rd, Trumbull, CT 06611-1610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean R Stockwell | 146 Barnsbee Ln, Coventry, CT 06238-1680 | Controlled Substance Registration for Practitioner | 2020-06-18 ~ 2021-02-28 |
| Sean K Lee | 34 Church Hill Rd, Newtown, CT 06470-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean M Yetman | 7 Wooster Pl, New Haven, CT 06511-6933 | Controlled Substance Registration for Practitioner | 2009-09-30 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SEAN HYUNGBEOM KIM DDS.
| 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).