WILLIAM S KIM (Credential# 1328715) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
WILLIAM S KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061960. The credential type is controlled substance registration for practitioner. The effective date is March 22, 2019. The expiration date is February 28, 2021. The business address is 100 Haven Ave., New York, NY 10032-2652. The current status is active.
| Licensee Name | WILLIAM S KIM |
| Credential ID | 1328715 |
| Credential Number | CSP.0061960 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Haven Ave. New York NY 10032-2652 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-01-14 |
| Effective Date | 2019-03-22 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1377600 | CSP.0063979 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1309687 | 2.011504 | Dentist | 2015-09-15 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 100 Haven Ave. |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-2652 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Za Chang | 50 Haven Ave Apt B-76, New York, NY 10032-2652 | Registered Nurse | 2019-04-05 ~ 2020-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | NEW YORK |
| Zip Code | 10032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Donovan Md | William W Backus Hospital, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William A Gay | 34 Ten Rod Rd, Voluntown, CT 06384-1726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Aquila Pa | 123 Second St, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| William Drucker Md | Po Box 408, Washington, CT 06794 | Controlled Substance Registration for Practitioner | 2013-04-16 ~ 2015-02-28 |
| William W. Stewart | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William L Joughin | Po Box 331, Guilford, CT 06437-0331 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| William G Covey Md | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| William A Martimucci Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William J Hostnik | P.o Box #686, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| William A Masopust Dds | 246 Joy Rd, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on WILLIAM S 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).