DONG WOONG KIM (Credential# 1070968) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DONG WOONG KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052412. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2019. The expiration date is February 28, 2021. The business address is 99 Fieldstone Dr, Hartsdale Ny, NY 10530. The current status is active.
| Licensee Name | DONG WOONG KIM |
| Credential ID | 1070968 |
| Credential Number | CSP.0052412 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
99 Fieldstone Dr Hartsdale Ny NY 10530 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-05-18 |
| Effective Date | 2019-04-08 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1039510 | 2.010719 | Dentist | 2012-03-29 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 99 Fieldstone Dr |
| City | Hartsdale NY |
| State | NY |
| Zip Code | 10530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas L Faustini | 6 Burns Street, Hartsdale, NY 10530 | Architect | 2020-08-01 ~ 2021-07-31 |
| John C Douglas | 141 North Central Avenue, Hartsdale, NY 10530 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Delali A Goka | 62 Chaucer St, Hartsdale, NY 10530 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Bennie Chiles | Westchester Spine and Brain Surgery, Hartsdale, NY 10530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adele Lasorsa | 47 North Central Avenue Apt 1 I, Hartsdale, NY 10530 | Notary Public Appointment | 2015-03-23 ~ 2020-03-31 |
| Barbara U Zakrzewski | 32 Wood End Rd, Hartsdale, NY 10530 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Aries Deitch & Endelson Inc | 110 South Central Ave, Hartsdale, NY 10530 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Alexa Olimpio | 82 Rocklege Rd Apt. 82 M, Hartsdale, NY 10530 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Martin Ozer | 100 High Point Drive Apt 703, Hartsdale, CT 10530 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
| Martha M Elliott | 125 N Washington Ave, Hartsdale, NY 10530 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10530 | |||
| City | Hartsdale NY |
| Zip Code | 10530 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartsdale NY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Woong B Lee Md | Po Box 207, West Mystic, CT 06388 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mei Xue Dong | 209 Haverford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Xinqi Dong Md | 835 Mix Avenue, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Ning Dong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Xiang D Dong Md | 58 Rings End Rd, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dong-jin Park | 46 Skyview Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Xumei Dong | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Dong-jin Shin | 35 W Broad St Unit 326, Stamford, CT 06902-3777 | Controlled Substance Registration for Practitioner | 2015-08-07 ~ 2017-02-28 |
| Mei Dong Dmd | 1976 Frenchtown Road, East Greenwich, RI 02818 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Dong Y Moon | 247 Smith Ridge Rd, South Salem, NY 10590-2210 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on DONG WOONG 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).