JEREMIAH H YIM
Controlled Substance Registration for Practitioner


Address: 164-15 29th Avenue, Flushing, NY 11358

JEREMIAH H YIM (Credential# 1635529) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JEREMIAH H YIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070365. The credential type is controlled substance registration for practitioner. The effective date is February 28, 2019. The expiration date is February 28, 2021. The business address is 164-15 29th Avenue, Flushing, NY 11358. The current status is active.

Basic Information

Licensee Name JEREMIAH H YIM
Credential ID 1635529
Credential Number CSP.0070365
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 164-15 29th Avenue
Flushing
NY 11358
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-02-28
Effective Date 2019-02-28
Expiration Date 2021-02-28
Refresh Date 2019-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
550891 1.033292 Physician/Surgeon 1993-08-27 2019-11-01 - 2020-10-31 ACTIVE
162177 CSP.0021724 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 164-15 29TH AVENUE
City FLUSHING
State NY
Zip Code 11358

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Competitor

Search similar business entities

City FLUSHING
Zip Code 11358
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FLUSHING

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Jeremiah T Shea Dpm 302 Captians Walk, New London, CT 06320 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Jeremiah T Martin Hospital of St Raphael, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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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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