GRACE P KIM MD (Credential# 549110) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GRACE P KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031353. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 169 Cheesespring Rd, Wilton, CT 06897-2308. The current status is active.
| Licensee Name | GRACE P KIM MD |
| Credential ID | 549110 |
| Credential Number | 1.031353 |
| Credential Type | Physician/Surgeon |
| Business Address |
169 Cheesespring Rd Wilton CT 06897-2308 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-02-11 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157683 | CSP.0019708 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 169 CHEESESPRING RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-2308 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Grace K Suh Md | 641 Whitney Ave 2c, New Haven, CT 06511-2253 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Grace K Mandigo | 2150 Broadway # 126, New York, NY 10023-8255 | Physician/surgeon | ~ |
| Grace H Lee | 631 East 6th Street, Hinsdale, IL 60521 | Physician/surgeon | 2009-05-26 ~ 2010-07-31 |
| Jaspreet S. Joneja | 14 Grace Dr, Old Westbury, NY 11568-1221 | Physician/surgeon | 2011-04-06 ~ 2011-12-31 |
| Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
| Grace Jenq Md | 55 Hickory Rd, Woodbridge, CT 06525 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Grace M Jere Md | 12 Bailey Rd, Middletown, CT 06457 | Physician/surgeon | 2006-01-17 ~ 2007-02-28 |
| Grace M Steere | 12 Tallwood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2000-12-01 ~ 2001-09-25 |
Please comment or provide details below to improve the information on GRACE P KIM MD.
| 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).