NINA L KIM
Controlled Substance Registration for Practitioner


Address: 12549 28th Ave Ne Apt 402, Seattle, WA 98125-4394

NINA L KIM (Credential# 1086692) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

NINA L KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053404. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 12549 28th Ave Ne Apt 402, Seattle, WA 98125-4394. The current status is inactive.

Basic Information

Licensee Name NINA L KIM
Credential ID 1086692
Credential Number CSP.0053404
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12549 28th Ave Ne Apt 402
Seattle
WA 98125-4394
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-09
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1078656 2.010810 Dentist 2012-07-17 2014-08-01 - 2015-07-31 INACTIVE

Office Location

Street Address 12549 28TH AVE NE APT 402
City SEATTLE
State WA
Zip Code 98125-4394

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Adah F Wright · Franklin 12026 15th Ave., Seattle, WA 98125 Licensed Clinical Social Worker 1996-05-08 ~ 1997-05-31
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Alvin Eller 12739 42nd Ave Ne, Seattle, WA 98125 Dentist 1992-11-24 ~ 1993-12-31
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Competitor

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City SEATTLE
Zip Code 98125
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SEATTLE

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Dataset Information

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).

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