AGNES S KIM (Credential# 562152) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
AGNES S KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044570. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 49 Paxton Way, Glastonbury, CT 06033-3386. The current status is active.
| Licensee Name | AGNES S KIM |
| Credential ID | 562152 |
| Credential Number | 1.044570 |
| Credential Type | Physician/Surgeon |
| Business Address |
49 Paxton Way Glastonbury CT 06033-3386 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-07-10 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 470730 | CSP.0041483 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 380370 | CSP.0035940 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-23 | 2004-09-23 - 2005-02-28 | INACTIVE |
| 895591 | CSP.0046658 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 49 PAXTON WAY |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-3386 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Agnes S Song | 1098 Anderson Ave, Ft Lee, NJ 07024 | Physician/surgeon | 1996-08-14 ~ 1997-10-31 |
| Andrew P Mezey | 21 Agnes Circle, Ardsley, NY 10502 | Physician/surgeon | 2009-04-08 ~ 2010-04-30 |
| Ronald D Agnes Jr | 142 Robbins Circle, Dennis, MA 02638 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David H Levien | St. Agnes Hospital, Baltimore, MD 21229 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Agnes Q Banquet | 357 Knollwood Extension, Elmsford, NY 10523 | Physician/surgeon | 2003-11-24 ~ 2004-08-31 |
| Agnes L Daliva | 111 West High Street, Suite 207, Elkton, MD 21921 | Physician/surgeon | 2000-10-02 ~ 2001-09-30 |
| Lydia Agnes Josephs | 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152 | Physician/surgeon | 2020-04-27 ~ 2021-04-30 |
| St. Agnes Home Inc. · St. Agnes Family Center | 104 Mayflower Street, West Hartford, CT 06110 | Maternity Home | 2005-07-01 ~ 2009-06-30 |
| P Agnes Inc | 2101 Penrose Ave, Philadelphia, PA 19145-5614 | Major Contractor | 2015-07-01 ~ 2016-06-30 |
| St Agnes Co-op Nursery Sch | 16 Haigh Avenue, East Lyme, CT 06357 | Child Care Center | ~ 1997-01-30 |
Please comment or provide details below to improve the information on AGNES S KIM.
| 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).