HAN SUK KIM (Credential# 1385870) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
HAN SUK KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011763. The credential type is dentist. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 12855 Maryland Ave, Eastvale, CA 92880-6200. The current status is inactive.
| Licensee Name | HAN SUK KIM |
| Credential ID | 1385870 |
| Credential Number | 2.011763 |
| Credential Type | Dentist |
| Business Address |
12855 Maryland Ave Eastvale CA 92880-6200 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-01-03 |
| Effective Date | 2018-02-01 |
| Expiration Date | 2019-01-31 |
| Refresh Date | 2019-05-06 |
| Street Address | 12855 MARYLAND AVE |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-6200 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles H Scott | 4210 Green River Rd, Corona, CA 92880-1669 | Electrical Limited Contractor | ~ |
| Costco Wholesale Corp | 215 Deininger Cir Ste A, Corona, CA 92880-1707 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Actavis Pharma, Inc | 2455 Wardlow Rd, Corona, CA 92880-2891 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
| Aidarex Pharmaceuticals LLC | 595 N Smith Ave Ste B, Corona, CA 92880-6920 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Patience R Akhimien | 6515 Red Oak Dr, Corona, CA 92880-8651 | Registered Nurse - Temporary | 2013-12-06 ~ 2014-04-04 |
| Anthony R. Yvanovich | 13527 Falcon Ridge Rd, Corona, CA 92880-9095 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Aseptic Solutions Usa | 484 Alcoa Cir, Corona, CA 92880-9323 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
| All Rise Records Inc · Got Vape | 3175 Palisades Dr, Corona, CA 92880-9432 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-06-24 ~ 2021-02-28 |
| Parker House Mfg Co Inc | 6300 Providence Way, Eastvale, CA 92880-9636 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| City | EASTVALE |
| Zip Code | 92880 |
| License Type | Dentist |
| License Type + County | Dentist + EASTVALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Narinderjit Mahal | CT | Dentist | ~ |
| Priscila M Guzman | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Charles E Ray | P.o. Box E, Middlebury, CT 06762 | Dentist | 2007-04-26 ~ 2008-05-31 |
| Su Jung Kim | 111 Park St Apt 12t, New Haven, CT 06511-5421 | Dentist | ~ |
| Jay F Ponto | 302 2nd St Apt 7b, Brooklyn, NY 11215-8507 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Yoo Bin Lee | 11 Ridgecrest N, Scarsdale, NY 10583 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
| Yoo Kon Kim | 181 Market St, New Britain, CT 06051-1748 | Dentist | 2013-12-01 ~ 2014-11-30 |
Please comment or provide details below to improve the information on HAN SUK 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).