JOHN JUWON PARK (Credential# 1003274) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JOHN JUWON PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050507. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 255 Patroon Creek Blvd Apt 1405, Albany, NY 12206-5019. The current status is lapsed.
| Licensee Name | JOHN JUWON PARK |
| Credential ID | 1003274 |
| Credential Number | CSP.0050507 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
255 Patroon Creek Blvd Apt 1405 Albany NY 12206-5019 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2011-06-22 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 986912 | 2.010483 | Dentist | 2011-03-29 | 2018-02-01 - 2019-01-31 | INACTIVE |
| Street Address | 255 PATROON CREEK BLVD APT 1405 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-5019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nazareen Ariel Peters | Pobox 66557, Albany, NY 12206 | Registered Nurse | ~ |
| Crowley Foods Inc | 55 Commerce Ave, Albany, NY 12206 | Non-alcoholic Beverage & Water Bottlers | 1999-07-01 ~ 2000-06-30 |
| Charles Freihofer Baking Co #3813 | One Prospect Rd, Albany, NY 12206 | Bakery | 2009-07-01 ~ 2010-06-30 |
| Charles Freihofer Baking Co | 78 North Manning Blvd, Albany, NY 12206 | Bakery | 2009-07-01 ~ 2010-06-30 |
| Taryn Vona | 43 Danker Ave, Albany, NY 12206 | Master's Level Social Worker | 2016-08-01 ~ 2017-07-31 |
| New York State Retired Teachers' Association Inc. | 50 Colvin Avenue, Albany, NY 12206 | Public Charity | 2008-02-19 ~ 2008-11-30 |
| Clarissa Collins | 238 Third Street, Albany, NY 12206 | Registered Nurse | 2013-03-01 ~ 2014-02-28 |
| Daniel W Dembling · Dembling and Dembling Architects | 307 Washington Ave, Albany, NY 12206 | Architect | 2009-08-01 ~ 2010-07-31 |
| Robert M Hall IIi | 22 Buchanan Street, Albany, NY 12206 | Asbestos Consultant-inspector | 2008-12-29 ~ 2009-09-30 |
| Badereidin M Morgan | P.o. Box 66273, Albany, NY 12206 | Veterinarian | ~ |
| Find all Licenses in zip 12206 | |||
| City | ALBANY |
| Zip Code | 12206 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Khadem Md | 3003 New Hydg Park Suite 311, New Hyde Park, NY 11040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| John K Ruth | 250 Euclid Ave Fl 2, Ridgefield Park, NJ 07660-1538 | Controlled Substance Registration for Practitioner | 2013-06-17 ~ 2015-02-28 |
| John R Sussman | 120 Park Lane Rd, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John S Montgomery Md | 3073 Fawn Dr, Park City, UT 84098 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| John M Arias Md | 9010 Saddleback Rd, Park City, UT 84098-4740 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| John P Tauro Jr | One Town Park Plaza, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John R Rolocut Aprn | 699 Park Hill Road, Florence, MA 01062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael Minchul Park | 226 Orchard Park, Allendale, NJ 07401-1746 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meyeon Park | 246 Park Street Apartment 23, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
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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).