CHUNG K KIM (Credential# 405038) 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.
CHUNG K KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037472. 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 20 Main St Ste 17, Windsor Locks, CT 06096-2345. The current status is active.
| Licensee Name | CHUNG K KIM |
| Credential ID | 405038 |
| Credential Number | CSP.0037472 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Main St Ste 17 Windsor Locks CT 06096-2345 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-05-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703856 | 2.009404 | Dentist | 2005-01-24 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 20 MAIN ST STE 17 |
| City | WINDSOR LOCKS |
| State | CT |
| Zip Code | 06096-2345 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luppoleto Brewing Company | 20 Main St Ste 15, Windsor Locks, CT 06096-2345 | Manufacturer for Beer and Brew Pub | 2019-08-26 ~ 2020-12-25 |
| Affordable Closets Inc | 20 Main St Ste G, Windsor Locks, CT 06096-2345 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Ocean State Job Lob of Windsor Locks LLC | 20 Main St, Windsor Locks, CT 06096-2345 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley D Peters | 502 Denslow St., Windsor Locks, CT 06096 | Optician | 2020-08-01 ~ 2021-07-31 |
| Larry A Rosenberg | 61 Oak Ridge Dr, Windsor Locks, CT 06096 | Home Improvement Salesperson | 2020-06-24 ~ 2020-11-30 |
| Audrey Brown | 69 Fox Hollow Drive, Windsor Locks, CT 06096 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Dunkin Donuts | 94 Main St, Windsor Locks, CT 06096 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Isha Sinojia | 104 Oakridge Drive, Windsor Locks, CT 06096 | Emergency Medical Technician | ~ |
| Burger King #3299 · Fps Inc Dba | 84 Ella Grasso Tpke, Windsor Locks, CT 06096 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Danay L. Ruvolo | 13 Meg Way, Windsor Locks, CT 06096 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Michael Heaton · Sheraton Bradley | One Bradley International Airport, Windsor Locks, CT 06096 | Hotel Liquor (50000 Or Less Population) | 2019-11-12 ~ 2021-03-11 |
| Truman Arnold Companies · Tac Air Corp | Bradley Int'l Airport Bldg# 85-205, Windsor Locks, CT 06096 | Operator of Weighing & Measuring Devices | 2019-08-01 ~ 2020-07-31 |
| Danelle Shannon Martin | 57 Suffield St, Windsor Locks, CT 06096 | Registered Nurse | ~ |
| Find all Licenses in zip 06096 | |||
| City | WINDSOR LOCKS |
| Zip Code | 06096 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR LOCKS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ji Hye Chung | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kenneth Chung | 266 Pearl St Apt 306, Hartford, CT 06103-2012 | Controlled Substance Registration for Practitioner | 2013-04-22 ~ 2015-02-28 |
| James H Chung Md | 10 Deepwood Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Helen H Chung | 644 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Jin Ho Chung | 100 Cougar Drive, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ho R Chung | 170 W. Main St Apt 205k, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jin Hyun Chung | 1955 1st Avenue, New York, NY 10029 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edwin K Chung Md | 64-26 232 Street, Oakland Gardens, NY 11364 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Chung-jyi Tsai | 644 Clinton Ln, Highland Heights, OH 44143-1961 | Controlled Substance Registration for Practitioner | 2017-07-14 ~ 2019-02-28 |
| Taesun P. Chung Md | 153 Taunton Hill Rd, Newtown, CT 06470-1794 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).