PAULINA KIM MD
Controlled Substance Registration for Practitioner


Address: 22 Walden Street, Hamden, CT 06517

PAULINA KIM MD (Credential# 317207) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

PAULINA KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032601. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 22 Walden Street, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name PAULINA KIM MD
Credential ID 317207
Credential Number CSP.0032601
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Walden Street
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-24
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558290 1.040707 Physician/Surgeon 2002-07-29 2005-10-03 - 2006-11-30 INACTIVE

Office Location

Street Address 22 WALDEN STREET
City HAMDEN
State CT
Zip Code 06517

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Christian Community Health Alliance Inc. 22 Walden Street, Hamden, CT 06517 Public Charity 2006-06-01 ~ 2007-05-31

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Competitor

Search similar business entities

City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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Dataset Information

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).

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