CHRISTINA KIM MD (Credential# 365125) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTINA KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034599. The credential type is controlled substance registration for practitioner. The effective date is October 28, 2019. The expiration date is February 28, 2021. The business address is 15 Orchard Lane, Simsbury, CT 06070. The current status is active.
| Licensee Name | CHRISTINA KIM MD |
| Credential ID | 365125 |
| Credential Number | CSP.0034599 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Orchard Lane Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-02-27 |
| Effective Date | 2019-10-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559819 | 1.042237 | Physician/Surgeon | 2004-03-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 15 ORCHARD LANE |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina Ly | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina Plantier Pa | Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina J Lee Md | 66 Orange St Apt 318, New Haven, CT 06510-3143 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christina S Han Md | 817 Grand Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christina Lu | 3 Sunningdale, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina K Walsh | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christina L Delmonte | 61 Chester St, Torrington, CT 06790-6023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina Mora | 30 Shelburne Rd, Stamford, CT 06902-3696 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christina Mbewe Md | 484 New Road, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina N Notarino | 299 Washington Ave, Hamden, CT 06518-3026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).