JUNGSOO MOON
Controlled Substance Registration for Practitioner


Address: 100 Parrott Dr., Shelton, CT 06484

JUNGSOO MOON (Credential# 518899) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JUNGSOO MOON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044831. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 100 Parrott Dr., Shelton, CT 06484. The current status is inactive.

Basic Information

Licensee Name JUNGSOO MOON
Credential ID 518899
Credential Number CSP.0044831
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Parrott Dr.
Shelton
CT 06484
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-11-17
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
704322 2.009870 Dentist 2008-05-13 2013-02-01 - 2014-01-31 INACTIVE

Office Location

Street Address 100 Parrott Dr.
City Shelton
State CT
Zip Code 06484

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Competitor

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City Shelton
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton

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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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