HYUN WON SHIN DDS (Credential# 469342) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
HYUN WON SHIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041387. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 422 Main St Fl 1, Fort Lee, NJ 07024-2861. The current status is lapsed.
| Licensee Name | HYUN WON SHIN DDS |
| Credential ID | 469342 |
| Credential Number | CSP.0041387 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
422 Main St Fl 1 Fort Lee NJ 07024-2861 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2007-04-13 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703862 | 2.009410 | Dentist | 2005-02-08 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 422 MAIN ST FL 1 |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-2861 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eun Kim | 1263a Inwood Terrace, Fort Lee, NJ 07024 | Pharmacist | ~ |
| Stephen C Leventis | 2125 Center Ave Ste 301, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Taeik Kim | 2029 Lemoine Ave. Suite 302, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Catalina A Grigorescu | 270 Bluff Road, Fort Lee, NJ 07024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shaina Rodrigues | 2461 8th Street, Fort Lee, NJ 07024 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Daniel William Livshin | 3406 Crest Ln, Fort Lee, NJ 07024 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert Abraham | 296 Harmon Ave., Fort Lee, NJ 07024 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Marge Teilhaber | 555 North Avenue 6 T, Fort Lee, NJ 07024 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Andrew J Merin | 4 Ascot Way, Fort Lee, NJ 07024 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Seungjin Kim | 2050 Central Road Apt 718, Fort Lee, NJ 07024 | Dentist | 2020-02-20 ~ 2021-02-28 |
| Find all Licenses in zip 07024 | |||
| City | FORT LEE |
| Zip Code | 07024 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FORT LEE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyun A Kim | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hyun S Kim | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Moo Hyun Kim | 301 29th Ave N Apt 112, Nashville, TN 37203-2273 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Byol Shin Md | Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Yoo Jin Shin | 90 Fairfield Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ji Hyun Lee | 1192 Farmington Ave., Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Chi Hyun Cho | 2335 Dixwell Ave., Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joongho Shin | 30 Stevens St Ste D, Norwalk, CT 06850-3859 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Min Chul Shin | 152 Temple St Apt 108, New Haven, CT 06510-2607 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Joseph Shin | Po Box 208041, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on HYUN WON SHIN 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).