BENJAMIN KONG MD (Credential# 927838) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BENJAMIN KONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047615. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 99 E River Dr Fl 5, East Hartford, CT 06108-7301. The current status is active.
| Licensee Name | BENJAMIN KONG MD |
| Credential ID | 927838 |
| Credential Number | CSP.0047615 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
99 E River Dr Fl 5 East Hartford CT 06108-7301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 908418 | 1.048473 | Physician/Surgeon | 2010-02-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 99 E RIVER DR FL 5 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-7301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter U Shen | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James C Wickwire Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph F Gerace Do | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cally A Regan | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth Beatson Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Gregory L Kernisan Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Gordon Pa | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John Tiernan Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Blaise Smyth | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sung-chil Hong Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyun Suk Lee Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Betty Kong | 125 Juniper Dr, Milford, CT 06461-9148 | Controlled Substance Registration for Practitioner | 2015-07-07 ~ 2017-02-28 |
| Colin Kong | 7 Rosanne Ln, Plainville, CT 06062-2654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Minn-kong | L & M Hospital, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chi Kong Poon | 580 Main St Apt 1604, New York, NY 10044-0138 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Erin Kong | 7 Rosanne Lane, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2004-09-24 ~ 2005-02-28 |
| Wing Tai Kong | Dept of Graduate Medicine - 6 South, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Benjamin Yeboah | 15 Roxbury Ct, Cheshire, CT 06410-1511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Walker | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Benjamin M Schultz | 162 Warde Ter, Fairfield, CT 06825-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).