KAE J KIM (Credential# 551645) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 23, 1995. The license expiration date date is January 31, 1996. The license status is INACTIVE.
KAE J KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034046. The credential type is physician/surgeon. The effective date is January 23, 1995. The expiration date is January 31, 1996. The business address is 408 Barberry Drive, Hanover, PA 17331. The current status is inactive.
| Licensee Name | KAE J KIM |
| Credential ID | 551645 |
| Credential Number | 1.034046 |
| Credential Type | Physician/Surgeon |
| Business Address |
408 Barberry Drive Hanover PA 17331 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-09-09 |
| Effective Date | 1995-01-23 |
| Expiration Date | 1996-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 408 BARBERRY DRIVE |
| City | HANOVER |
| State | PA |
| Zip Code | 17331 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karyn A George | 300 Penn Street, Hanover, PA 17331 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Gina M Dagata | 1962 Youngs Road, Hanover, PA 17331 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ronald Keith Laughman | 15 Elk Drive, Hanover, PA 17331 | Registered Nurse | 2017-10-16 ~ 2018-02-28 |
| Marie J Salois | 43 Misty Crt, Hanover, PA 17331 | Hairdresser/cosmetician | 2003-10-16 ~ 2004-10-31 |
| Elizabeth A Rickis | 18 Gladys Court, Hanover, PA 17331 | Registered Nurse | 1993-02-25 ~ 1994-02-28 |
| Rita Bouchard | 430 No Franklin St, Hanover, PA 17331 | Registered Nurse | 2000-11-24 ~ 2002-01-31 |
| Karen C Held | 3769 Eagle Ridge Ct, Hanover, PA 17331 | Registered Nurse | 2001-05-17 ~ 2002-05-31 |
| Kevin J Shanaghan | 5 Cornell Drive, Hanover, PA 17331 | Controlled Substance Registration for Practitioner | 1994-03-24 ~ 1996-02-01 |
| Hanover Craftsmen Inc | 639 Frederick Street, Hanover, PA 17331 | Manufacturer of Bedding & Upholstered Furniture | 1999-05-01 ~ 2000-04-30 |
| Hanover Foods Corp | Po Box 334, Hanover, PA 17331 | Non-alcoholic Beverage & Water Bottlers | 2009-07-01 ~ 2010-06-30 |
| Find all Licenses in zip 17331 | |||
| City | HANOVER |
| Zip Code | 17331 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HANOVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).