ADAM S KIM MD (Credential# 480137) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
ADAM S KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042464. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 124 Culver Lane, North Haven, CT 06473. The current status is inactive.
| Licensee Name | ADAM S KIM MD |
| Credential ID | 480137 |
| Credential Number | CSP.0042464 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
124 Culver Lane North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-08-16 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561729 | 1.044147 | Physician/Surgeon | 2006-03-10 | 2009-01-13 - 2010-01-31 | INACTIVE |
| Street Address | 124 CULVER LANE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie C Jost Md | 124 Culver Lane, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Y Hsu Md | 500 Bedford St Apt 220, Stamford, CT 06901-1508 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam D Corrado Md | Po Box 37, Farmington, CT 06034-0037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam Cohn Pa-c | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
| Adam Levay | 227 Church St 2e, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Adam S Jasne | 15 York St, New Haven, CT 06510-3221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam W Bryniczka | 229-b Front St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2008-05-01 ~ 2009-02-28 |
| Adam F Niedelman Md | 318 Sylvan Ct, Saunderstown, RI 02874 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam J Sachs | 17 Morgan Pl, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stewart I Adam | 78 Olive St Apt 312, New Haven, CT 06511-6985 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Adam M Wise | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ADAM S KIM MD.
| 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).