KYOUNGHAE KIM (Credential# 1460918) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KYOUNGHAE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067086. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 18 Copper Beech Dr, Rocky Hill, CT 06067-1837. The current status is active.
| Licensee Name | KYOUNGHAE KIM |
| Credential ID | 1460918 |
| Credential Number | CSP.0067086 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
18 Copper Beech Dr Rocky Hill CT 06067-1837 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1366451 | 10.138420 | Registered Nurse | 2016-11-02 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1367171 | 12.006943 | Advanced Practice Registered Nurse | 2017-02-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1369854 | 10.135416-TEMP | Registered Nurse - Temporary | 2016-08-01 | 2016-08-01 - 2016-11-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyounghae Kim | 1925 Eastchester Rd Apt 10f, Bronx, NY 10461-2104 | Registered Nurse - Temporary | 2010-09-13 ~ 2011-01-11 |
| Street Address | 18 COPPER BEECH DR |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067-1837 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Ann Avery | 30 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Kyle A Roberts | 22 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Claudia Calabrese | 78 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Notary Public Appointment | 2020-02-11 ~ 2025-02-28 |
| Admira Mantia | 62 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
| Lori Petrolito | 24 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Karen F Lemieux · Foxwell | 34 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Stephanie A Frascadore | 10 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Marital and Family Therapist | ~ |
| Sara Ghatee | 48 Copper Beech Drive, Rocky Hill, CT 06067-1837 | Engineer-in-training | 2015-10-20 ~ 2025-10-20 |
| Diana Quinones | 94 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Registered Nurse | ~ |
| Larry B Dorfman · Sanders Gale & Russell | 88 Copper Beech Dr, Rocky Hill, CT 06067-1837 | Shorthand Court Reporter | 2005-01-01 ~ 2007-12-31 |
| Find all Licenses in zip 06067-1837 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
| Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
| Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
| Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
| Find all Licenses in zip 06067 | |||
| City | ROCKY HILL |
| Zip Code | 06067 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCKY HILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yue Wu | 14 Glenview Dr, Cromwell, CT 06416-2573 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Zhi Xin Xu Md | 47-46 190th St, Flushing, NY 11358 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on KYOUNGHAE 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).