MOO HYUN KIM
Controlled Substance Registration for Practitioner


Address: 301 29th Ave N Apt 112, Nashville, TN 37203-2273

MOO HYUN KIM (Credential# 1505424) 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 INACTIVE.

Business Overview

MOO HYUN KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067789. 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 301 29th Ave N Apt 112, Nashville, TN 37203-2273. The current status is inactive.

Basic Information

Licensee Name MOO HYUN KIM
Credential ID 1505424
Credential Number CSP.0067789
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 301 29th Ave N Apt 112
Nashville
TN 37203-2273
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2018-04-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1501106 2.012149 Dentist 2018-04-11 2018-08-01 - 2019-07-31 INACTIVE

Office Location

Street Address 301 29TH AVE N APT 112
City NASHVILLE
State TN
Zip Code 37203-2273

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Competitor

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City NASHVILLE
Zip Code 37203
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NASHVILLE

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Dataset Information

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).

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