JEFFREY L KANG MD (Credential# 451055) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JEFFREY L KANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040677. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 1000 Park Centre Blvd, Miami Gardens, FL 33169-5373. The current status is lapsed.
Licensee Name | JEFFREY L KANG MD |
Credential ID | 451055 |
Credential Number | CSP.0040677 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1000 Park Centre Blvd Miami Gardens FL 33169-5373 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2006-09-22 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560768 | 1.043186 | Physician/Surgeon | 2005-03-10 | 2016-12-01 - 2017-11-30 | INACTIVE |
Street Address | 1000 Park Centre Blvd |
City | Miami Gardens |
State | FL |
Zip Code | 33169-5373 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ahron Aviv Wolf | 17601 Nw 2nd Ave, Miami, FL 33169 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Lapham Sales & Marketing Inc · Lapham Import Co | 955 Nw 159the Drive Bay 104, Miami, FL 33169 | Out of State Shipper Liquor | 2017-11-21 ~ 2018-11-20 |
April D Anderson | 955 Nw 206 Terrace, Miami, FL 33169 | Registered Nurse - Temporary | 2015-10-15 ~ 2016-02-11 |
Roudy Thomas | 21207 Nw 14 Place #128, Miami Gardens, FL 33169 | Registered Nurse | 2009-05-20 ~ 2010-05-31 |
Anne Lise M Bernard · Mocombe | 484 Nw 165 St Rd, N Miami Beach, FL 33169 | Registered Nurse | 1997-09-26 ~ 1998-09-30 |
Rose A Powell | 485 Nw 210 Street, Miami, FL 33169 | Registered Nurse | 2004-08-10 ~ 2005-07-31 |
Christine Musgrave | 533 So Biscayne Riv, Miami, FL 33169 | Hairdresser/cosmetician | 1992-02-24 ~ 1993-02-28 |
Josephine A Akinnifesi · Akinnifei | 660 Nw 177 Street 218, Miami, FL 33169 | Licensed Practical Nurse | 2003-08-06 ~ 2003-12-31 |
Brittany Imports Corporation | 290 N.w. 165th Street Ph1, Miami, FL 33169 | Out of State Shipper Liquor | 2000-11-19 ~ 2001-11-18 |
Nellisa Ebanks | 1350 Nw 207th St, Miami, FL 33169-2331 | Registered Nurse - Temporary | 2016-10-11 ~ 2017-02-07 |
Find all Licenses in zip 33169 |
City | Miami Gardens |
Zip Code | 33169 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Miami Gardens |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul D Kang | 217 Se 8th St, Ankeny, IA 50021-3538 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Michael C Kang | 130 Whitney St, Hartford, CT 06105-2269 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jason H Kang | 189 Willow St, New Haven, CT 06511-2532 | Controlled Substance Registration for Practitioner | 2009-06-24 ~ 2011-02-28 |
Angela J Kang | 81 Prindle Ave, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hyun Kyu Kang | 2 Main St Unit 111, Edgewater, NJ 07020-1704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christopher Kang | 1 Lincoln Place #309, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2006-06-19 ~ 2007-02-28 |
Julia Y Kang | 40 Prospect Ave Bldg 2a, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Brandon Kang | 77 Havemeyer Lane #425, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kang Sook Suh | 50-13 206th St, Oakland Gardens, NY 11364 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Miyun Kang Md | Building 1 - 7th Floor, West Haven, CT 06516 | 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).