JIHOON KIM (Credential# 1648813) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
JIHOON KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062618-RES. The credential type is resident physician. The effective date is June 11, 2019. The expiration date is June 30, 2023. The business address is 360 State St Apt 2817, New Haven, CT 06510-3629. The current status is active.
Licensee Name | JIHOON KIM |
Credential ID | 1648813 |
Credential Number | 1.062618-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
360 State St Apt 2817 New Haven CT 06510-3629 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-11 |
Effective Date | 2019-06-11 |
Expiration Date | 2023-06-30 |
Refresh Date | 2019-04-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1670372 | CSP.0071657 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-21 | 2019-06-21 - 2021-02-28 | ACTIVE |
Street Address | 360 STATE ST APT 2817 |
City | NEW HAVEN |
State | CT |
Zip Code | 06510-3629 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heva Jasmine Saadatmand | 360 State St Apt 2818, New Haven, CT 06510-3629 | Physician/surgeon | 2020-05-26 ~ 2020-11-30 |
Yasmeen Abdul-karim | 360 State St Apt 2819, New Haven, CT 06510-3629 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Yu Chun Lai | 360 State St Apt 2907, New Haven, CT 06510-3629 | Registered Nurse | 2013-09-05 ~ 2014-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06510 |
City | NEW HAVEN |
Zip Code | 06510 |
License Type | Resident Physician |
License Type + County | Resident Physician + NEW HAVEN |
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 | ~ |
Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 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 |
Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
Mingwei Yu | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
Cassandra A Law | 8 Cranberry Ln, Queensbury, NY 12804-8510 | Resident Physician | 2017-06-22 ~ 2021-06-30 |
Edward Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JIHOON 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).