RENEE KIM (Credential# 1433844) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RENEE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066051. The credential type is controlled substance registration for practitioner. The effective date is August 1, 2019. The expiration date is February 28, 2021. The business address is 800 12th St Apt 701, Palisades Park, NJ 07650-2373. The current status is active.
| Licensee Name | RENEE KIM |
| Credential ID | 1433844 |
| Credential Number | CSP.0066051 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
800 12th St Apt 701 Palisades Park NJ 07650-2373 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-11 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1657840 | 2.012601 | Dentist | 2019-07-30 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1493496 | 2.012102-RES | Resident Dentist | 2017-06-27 | 2017-06-27 - 2018-06-30 | INACTIVE |
| 1491810 | 1.059545-RES | Resident Physician | 2017-06-27 | 2017-06-27 - 2018-02-16 | INACTIVE |
| Street Address | 800 12TH ST APT 701 |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650-2373 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jin Young Sun | 222 9th St1fl, Palisades Park, NJ 07650 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Song Ey Hahn | 535 1st St, Palisades Park, NJ 07650 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Grace M Della Bella | 525 Lawn Avenue, Palisades Park, NJ 07650 | Notary Public Appointment | 2014-09-01 ~ 2019-08-31 |
| Bongseob Moon | 119 B East Ruby Avenue, Palisades Park, NJ 07650 | Notary Public Appointment | 2010-01-13 ~ 2015-01-31 |
| Lianhua Jin | 10 Herry Ave Apt B5, Palsades Park, NJ 07650 | Massage Therapist | 2019-08-01 ~ 2021-07-31 |
| Gabriel Centrella | 333 Ninth St, Palisades Park, NJ 07650 | Elevator Limited Journeyperson | ~ |
| Brian Vanore | 117 Brinkerhoff Ave, Palisades Pk, NJ 07650 | Electrical Unlimited Contractor | 2005-10-01 ~ 2006-09-30 |
| Robert L Petrocelli | 16 State Hwy 5, Palisades Park, NJ 07650 | Electrical Unlimited Contractor | 2005-10-01 ~ 2006-09-30 |
| Kyong Hui Nam Koong | 85 Liberty Place, #7, Palisades Park, NJ 07650 | Hairdresser/cosmetician | 2006-08-11 ~ 2008-09-30 |
| Eric Aberbach Md | 265 10th Street, Palisades Park, NJ 07650 | Physician/surgeon | ~ 2000-02-29 |
| Find all Licenses in zip 07650 | |||
| City | PALISADES PARK |
| Zip Code | 07650 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PALISADES PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee Flores Md | 32 Pratt Ln, Wolcott, CT 06716-3013 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Renee Flores Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | ~ |
| Renee' M Giometti Md | 5 Mohegan Ln, Rye Brook, NY 10573 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Renee P. Quarrie | 175 Meadows End Rd, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Renee K Derosa | 300 Meadow Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renee Simone | 71 Mary St, Chicopee, MA 01020-1139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renee E Hartshorn | 235 Hopmeadow St, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renee S Kohanski | 3 Hospital Plz Ste 310, Old Bridge, NJ 08857-3095 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
| Renee M Chin | 75 Wellington Rd, Elmont, NY 11003-1416 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Renee M Provost | 25 Oak Lane, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2017-12-28 ~ 2019-02-28 |
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| 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).