EDWARD H KIM
Controlled Substance Registration for Practitioner


Address: 2 Sparrow La, Unionville, CT 06085

EDWARD H KIM (Credential# 369978) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

EDWARD H KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034910. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2 Sparrow La, Unionville, CT 06085. The current status is inactive.

Basic Information

Licensee Name EDWARD H KIM
Credential ID 369978
Credential Number CSP.0034910
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Sparrow La
Unionville
CT 06085
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-05-20
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
559949 1.042367 Physician/Surgeon 2004-04-27 2015-09-01 - 2016-08-31 INACTIVE

Office Location

Street Address 2 SPARROW LA
City UNIONVILLE
State CT
Zip Code 06085

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Competitor

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City UNIONVILLE
Zip Code 06085
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + UNIONVILLE

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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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