JONG YUN PARK (Credential# 1077925) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
JONG YUN PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010864. The credential type is dentist. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is Aspen Dental, Manchester, CT 06042-7129. The current status is inactive.
| Licensee Name | JONG YUN PARK |
| Credential ID | 1077925 |
| Credential Number | 2.010864 |
| Credential Type | Dentist |
| Business Address |
Aspen Dental Manchester CT 06042-7129 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-09-04 |
| Effective Date | 2014-06-01 |
| Expiration Date | 2015-05-31 |
| Refresh Date | 2015-09-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1121831 | CSP.0053678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-10 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | Aspen Dental |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7129 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yoora Kim | 2335 Dixwell Ave H4, Hamden, CT 06042-7129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Dentist |
| License Type + County | Dentist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jong Um | 301 Commons Park Unit # 1011, Stamford, CT 06902 | Dentist | 2017-03-01 ~ 2018-02-28 |
| Kevin Jong | Dental Assoc, Danbury, CT 06811 | Dentist | ~ 1997-04-30 |
| Julie Y Jong | Univ. of Ct Health Center, Farmington, CT 06032 | Dentist | 2001-04-09 ~ 2001-12-31 |
| Jong Ik Park | 159 Sampson Ave, Albertson, NY 11507-1733 | Massage Therapist | ~ |
| Jong K Park | 30 Kensington Ct, Norwood, NJ 07648 | Physician/surgeon | 2007-06-12 ~ 2008-07-31 |
| Jong Min Lee | 60 W Oakdene Ave, Palisades Park, NJ 07650-1331 | Asbestos Abatement Worker | 2011-05-01 ~ 2012-04-30 |
| Jong Park | 12b Cherry St, Milford, CT 06460-3413 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Jong Hee Park · Hill Top | 106 Liberty St, Clinton, CT 06413-2420 | Home Improvement Contractor | 2018-03-27 ~ 2018-11-30 |
| Jong S Park Md | 18 Westfield Dr, Little Rock, AR 72210 | Controlled Substance Registration for Practitioner | ~ |
| Jong Sang Park | 6 Davis Road, North Haven, CT 06473 | Nail Technician | ~ |
Please comment or provide details below to improve the information on JONG YUN PARK.
| 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).