JISOO SHIN DDS (Credential# 1028416) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 12, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JISOO SHIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051209. The credential type is controlled substance registration for practitioner. The effective date is August 12, 2011. The expiration date is February 28, 2013. The business address is 7110 Park Ave 5s, Fresh Meadows, NY 11365. The current status is inactive.
Licensee Name | JISOO SHIN DDS |
Credential ID | 1028416 |
Credential Number | CSP.0051209 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
7110 Park Ave 5s Fresh Meadows NY 11365 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2011-08-12 |
Effective Date | 2011-08-12 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-07-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
980573 | 2.010451 | Dentist | 2011-01-25 | 2011-09-01 - 2012-08-31 | INACTIVE |
Street Address | 7110 Park Ave 5S |
City | Fresh Meadows |
State | NY |
Zip Code | 11365 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Meiqin Wang | 19611 56th, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Won Kyung Kim | 189-02 64 Ave 4a, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mi Ja Chung | 50-23 Weeks Lane, Fresh Meadows, NY 11365 | Nail Technician | ~ |
Jae Min Seong | 69-01a 186th Lane, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hai Lan Xu | 6700 192nd St 1802, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Young Sook Kang | 19780g Peck Ave, Fresh Meadows, NY 11365 | Nail Technician | ~ |
Han Jong Lee | 56-03b Utopia Pkwy, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hye J Lee | 67-00 192st Apt 2111, Fresh Meadows, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Qin Zhang | 71-66 Parsons Blvd 4f, Fresh Meadows, NY 11365 | Esthetician | ~ |
Zilong Wang | 59-35 160th St, Flushing, NY 11365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 11365 |
City | Fresh Meadows |
Zip Code | 11365 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fresh Meadows |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Byol Shin Md | Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Yoo Jin Shin | 90 Fairfield Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hyun Won Shin Dds | 422 Main St Fl 1, Fort Lee, NJ 07024-2861 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Joseph Shin | Po Box 208041, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
David Shin Md | 800 Howard Ave #ypb-316, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2003-01-03 ~ 2004-02-28 |
Victor Shin Md | 106 Ashling Dr, Lagrange, GA 30240 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Joongho Shin | 30 Stevens St Ste D, Norwalk, CT 06850-3859 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Min Chul Shin | 152 Temple St Apt 108, New Haven, CT 06510-2607 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Francis Shin Dds | 25 Valley Drive, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dong-jin Shin | 35 W Broad St Unit 326, Stamford, CT 06902-3777 | Controlled Substance Registration for Practitioner | 2015-08-07 ~ 2017-02-28 |
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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).