MINBAE KIM (Credential# 1389687) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
MINBAE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056082. The credential type is physician/surgeon. The effective date is January 18, 2017. The expiration date is January 31, 2018. The business address is 5 Nicholas Dr, Kinnrlon, NJ 07405. The current status is inactive.
| Licensee Name | MINBAE KIM |
| Credential ID | 1389687 |
| Credential Number | 1.056082 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Nicholas Dr Kinnrlon NJ 07405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-01-18 |
| Effective Date | 2017-01-18 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2018-05-06 |
| Street Address | 5 Nicholas Dr |
| City | Kinnrlon |
| State | NJ |
| Zip Code | 07405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yannuzzi Group Inc. | 135 Kinnelon Rd Suite 102, Kinnelon, NJ 07405 | Demolition Contractor | 2020-04-01 ~ 2021-03-31 |
| Frank J Rotonda | 31 Kiel Avenue, Kinnelon, NJ 07405 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Richard S Feld | 30 Cherry Tree Lane, Kinnelon, NJ 07405 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| James A Marx Jr | 11 Franklin Ln., Kinnelon, NJ 07405 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mark E Dolan | 440 Pepperidge Tree Lane, Kinnelon, NJ 07405 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Kerry L Debellonia | 86 Arch St, Butler, NJ 07405 | Notary Public Appointment | 2015-08-25 ~ 2020-08-31 |
| Tomislav Ilic | 119 Decker Road, Butler, NJ 07405 | Asbestos Abatement Worker | 2018-03-01 ~ 2019-02-28 |
| Shanon L Kapr | 15 Cutlass Road, Kinnelon, NJ 07405 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| William P Amann | 12 Forestdale Rd, Kinnelon, NJ 07405 | Professional Engineer | 1987-01-27 ~ 1988-01-31 |
| Vincent J Barone | 1572 Rt 23 N, Butler, NJ 07405 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 07405 | |||
| City | Kinnrlon |
| Zip Code | 07405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Kinnrlon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on MINBAE 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).