SARA I KIM (Credential# 742672) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 12, 2000. The license expiration date date is October 31, 2000. The license status is INACTIVE.
SARA I KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000923. The credential type is physician assistant. The effective date is January 12, 2000. The expiration date is October 31, 2000. The business address is 4754 N. Jennys Rd., Indianapolis, IN 46228. The current status is inactive.
| Licensee Name | SARA I KIM |
| Credential ID | 742672 |
| Credential Number | 23.000923 |
| Credential Type | Physician Assistant |
| Business Address |
4754 N. Jennys Rd. Indianapolis IN 46228 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-01-12 |
| Effective Date | 2000-01-12 |
| Expiration Date | 2000-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 4754 N. Jennys Rd. |
| City | Indianapolis |
| State | IN |
| Zip Code | 46228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Esther P Soundar | 5212 Knollton Road, Indianapolis, IN 46228 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Brad W Henry | 5248 Alameda Rd, Indianapolis, IN 46228 | Fire Protection Unlimited Journeyperson | ~ |
| Celestine Grayson | 6016 Woodside Dr, Indianapolis, IN 46228-1266 | Registered Nurse - Temporary | 2018-04-18 ~ 2018-08-15 |
| Celebration Creations Inc | 5860 Michigan Rd, Indianapolis, IN 46228-1731 | Manufacturer of Bedding & Upholstered Furniture | ~ |
| Decarla Ford | 3377 W 52nd St, Indianapolis, IN 46228-2157 | Registered Nurse | 2011-01-06 ~ 2011-04-30 |
| Ali M Drake | 3823 Teddington Way, Indianapolis, IN 46228-2887 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Cheryl D Smith-mcallister | 2017 Oldfields Circle South Dr, Indianapolis, IN 46228-3357 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Levi M Smith | 3961 Gable Lane Dr Apt 833, Indianapolis, IN 46228-3399 | Pharmacist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alpha Kappa Psi Foundation Inc | 7801 E 88th St, Indianapolis, IN 46256-1233 | Public Charity | 2019-12-16 ~ 2020-05-31 |
| Delta Upsilon Educational Foundation | 8705 Founders Rd, Indianapolis, IN 46268-1338 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Damar Foundation Inc · Damar Services | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Delta Sigma Phi Foundation (the) | 2960 N Meridian St, Indianapolis, IN 46208-4715 | Public Charity | 2019-10-15 ~ 2020-05-31 |
| Ryan Arthur Mckay | 3205 Summerfield Dr, Indianapolis, IN 46214-1869 | Registered Nurse - Temporary | 2020-06-27 ~ 2020-10-25 |
| Jennifer Downs | 7850 Camelback Dr, Indianapolis, IN 46250-1840 | Controlled Substance Registration for Practitioner | ~ |
| Neha Alang | Emerson Hall Room 421, Indianapolis, IN 46202 | Physician/surgeon | 2020-06-26 ~ 2020-11-30 |
| Roche Diagnostics Corporation | 9115 Hague Rd, Indianapolis, IN 46256-1025 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Patricia Waddick-walker | 6643 Greenspire Place, Indianapolis, IN 46221 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| William A Browne | 101 S Pennsylvania St, Indianapolis, IN 46204-3643 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in Indianapolis | |||
| City | Indianapolis |
| Zip Code | 46228 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Indianapolis |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara Lewis | 45 Fletcher Ln, Shelburne, VT 05482-7597 | Physician Assistant | 2020-04-19 ~ 2021-04-30 |
| Sara J Wallace Pa | 512 Scenic Rd, Orange, CT 06477 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Sara M Kwon | 115 Paulding St, Fairfield, CT 06824-6609 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Sara Graney | 50 Closter Rd, Palisades, NY 10964 | Physician Assistant | 2018-11-20 ~ 2019-07-31 |
| Sara A Mager | 46 Murray Dr, Gorham, ME 04038-4105 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Sara J Mester | 403 Earl Ave, New Kensington, PA 15068-4842 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Sara Naseer | 7 Braeburn, Glastonbury, CT 06033-1443 | Physician Assistant | 2020-04-15 ~ 2021-01-31 |
| Sara Attia | 140-14 Jewel Ave., Queens, NY 13367 | Physician Assistant | 2019-10-17 ~ 2020-06-30 |
| Sara E Chaffee | 50 Kensington St, Feeding Hills, MA 01030-2218 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sara J Rider | 150 Sodom Street, Granville, MA 01034 | Physician Assistant | 2001-01-04 ~ 2001-10-31 |
Please comment or provide details below to improve the information on SARA I 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).