CAROLINE KIM MD (Credential# 159372) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
CAROLINE KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027297. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 56 Franklin Street, Waterbury, CT 06706. The current status is inactive.
| Licensee Name | CAROLINE KIM MD |
| Credential ID | 159372 |
| Credential Number | CSP.0027297 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Franklin Street Waterbury CT 06706 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2006-03-01 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554779 | 1.037189 | Physician/Surgeon | 1998-08-14 | 2006-01-10 - 2006-10-31 | INACTIVE |
| Street Address | 56 FRANKLIN STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Druar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2025-06-30 |
| Bethel Girma Shiferaw | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Virginia Parker | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Fnu Sidra | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Abdul Haseeb | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Sanum Munir | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Vinod Kumar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Ahmed Kazi | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Karl Hellstrand | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ariel G Ong | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiajaira Morales | 424 Baldwin St., Waterbury, CT 06706 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
| Timiki M White | 921 Hamilton Avenue Unit 6, Waterbury, CT 06706 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Lymarie Torres Garcia | 107 Alpine Ave., Waterbury, CT 06706 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann M Iannantuoni | 456 Prospect Rd, Waterbury, CT 06706 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brittany Morgan | 921 Hamilton Ave., Waterbury, CT 06706 | Medication Administration Certification | 2018-04-14 ~ 2020-04-13 |
| Chevelle Hinton | 35 Mountain Village Rd Unit 2, Waterbury, CT 06706 | Medication Administration Certification | 2020-05-19 ~ 2022-05-18 |
| Juan A Bano | 685 Summer St, Waterbury, CT 06706 | Asbestos Abatement Worker | ~ |
| Esther Campos Dasilva | 31 Benjamin St, Waterbury, CT 06706 | Emergency Medical Responder | ~ |
| Rebecca L Diblasi | 295 Edgewood Avenue, Waterbury, CT 06706 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Rnz Services LLC | 76 Lounsbury Ave Apt 2, Waterbury, CT 06706 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06706 | |||
| City | WATERBURY |
| Zip Code | 06706 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caroline Adegite | 30 Woodland St Apt 5b, Hartford, CT 06105-2336 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Caroline Mary Ort | 389 Parker Ave S, Meriden, CT 06450-5954 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
| Caroline David | 11 E Porter Rd, Ellington, CT 06029-2712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caroline Rochon | 85 Seymour St Ste 301, Hartford, CT 06106-5522 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Rosen Md | 32 Caroline Dr, Princeton, NJ 08540 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Caroline C Weimann | 330 Hebron Rd, Andover, CT 06232-1718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caroline L Ugolyn | 194 South Ave, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-09-25 ~ 2021-02-28 |
| Caroline Luciani | 162 Bradley St Apt 2, New Haven, CT 06511-6204 | Controlled Substance Registration for Practitioner | 2020-03-12 ~ 2021-02-28 |
| Caroline Pace | 23 Nash St Apt 2, New Haven, CT 06511-2615 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Caroline K Fallon | 14 Platt St Apt 4, Norwalk, CT 06855-1039 | Controlled Substance Registration for Practitioner | 2015-06-20 ~ 2017-02-28 |
Please comment or provide details below to improve the information on CAROLINE KIM MD.
| 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).