SOORIN KIM (Credential# 1499578) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2020. The license status is ACTIVE.
SOORIN KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060156-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2020. The business address is 267 Grant St., Bridgeport, CT 06610. The current status is active.
| Licensee Name | SOORIN KIM |
| Credential ID | 1499578 |
| Credential Number | 1.060156-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
267 Grant St. Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2018-03-20 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Soorin Kim | 152 Temple St Apt 304, New Haven, CT 06510-2608 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Soorin Kim | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soorin Kim | 267 Grant St, Bridgeport, CT 06610 | Physician/surgeon | ~ |
| Street Address | 267 Grant St. |
| City | Bridgeport |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashwin Deshmukh | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2024-06-30 |
| Jacob Nasser | 267 Grant St., Bridgeport, CT 06610 | Resident Podiatrist | 2020-06-22 ~ 2023-06-30 |
| Anne Sarie Cossogue | 267 Grant St., Bridgeport, CT 06610 | Resident Podiatrist | 2020-06-22 ~ 2023-06-30 |
| Anas Bamashmos | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashkan Heshmatzadeh Behzadi | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ayah Megahed | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Joshua Hillman | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Freddy Duarte Lau | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Anant Shukla | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Sameer Dawoodi | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | Bridgeport |
| Zip Code | 06610 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gal Yaniv | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2019-06-30 |
| Moh'd Z Al-halawani | 19 River Rd Apt C, Nutley, NJ 07110-3469 | Resident Physician | 2015-06-26 ~ 2019-06-30 |
| David G Su | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
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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).