BYUNG YUL KIM MD
Physician/surgeon


Address: 25 Old Mill Rd, Woodbridge, CT 06525

BYUNG YUL KIM MD (Credential# 543967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 15, 2000. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

BYUNG YUL KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022058. The credential type is physician/surgeon. The effective date is December 15, 2000. The expiration date is February 28, 2002. The business address is 25 Old Mill Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name BYUNG YUL KIM MD
Credential ID 543967
Credential Number 1.022058
Credential Type Physician/Surgeon
Business Address 25 Old Mill Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1980-04-29
Effective Date 2000-12-15
Expiration Date 2002-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
145837 CSP.0011190 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address 25 OLD MILL RD
City WOODBRIDGE
State CT
Zip Code 06525

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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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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