ROSALYNN K KIM
ATTN: ALICE LEARY


Address: 276 Montauk Avenue, New London, CT 06320

ROSALYNN K KIM (Credential# 538277) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 16, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

ROSALYNN K KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000545-DO. The credential type is physician/surgeon. The effective date is January 16, 2001. The expiration date is February 28, 2002. The business address is 276 Montauk Avenue, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name ROSALYNN K KIM
Doing Business As ATTN: ALICE LEARY
Credential ID 538277
Credential Number 1.000545-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 276 Montauk Avenue
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-08-19
Effective Date 2001-01-16
Expiration Date 2002-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
221163 CSP.0028750 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address 276 MONTAUK AVENUE
City NEW LONDON
State CT
Zip Code 06320

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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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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