RICHARD W KIM MD (Credential# 562931) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is May 31, 2011. The license status is INACTIVE.
RICHARD W KIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045349. The credential type is physician/surgeon. The effective date is June 1, 2010. The expiration date is May 31, 2011. The business address is 333 Cedar St, New Haven, CT 06520-8039. The current status is inactive.
| Licensee Name | RICHARD W KIM MD |
| Credential ID | 562931 |
| Credential Number | 1.045349 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar St New Haven CT 06520-8039 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-05-01 |
| Effective Date | 2010-06-01 |
| Expiration Date | 2011-05-31 |
| Refresh Date | 2011-09-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 474735 | CSP.0041660 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-27 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 333 CEDAR ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8039 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James L Boyer | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ranjit S Bindra | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Pamela Valentino | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Hamid R Mojibian Md | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jillian Kateri Warejko | 333 Cedar St, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alex Sotolongo | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brian S Henick | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Nancy Joan Brown | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alex Sherwood Miller | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susan R Levy | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary S Kopf Md | 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Charles C Duncan | Department of Neur-surger, New Haven, CT 06520-8039 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Donald M Botta Md | 330 Cedar St Room Bb204, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Donald M Botta | Po Box 208039, New Haven, CT 06520-8039 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Prashanth Vallabhajosyula | Yale University School of Medicine, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
| Toshiharu Shinoka Md | 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
| Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
| Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
| Richard L Katzin | Po Box 2, Goshen, CT 06756 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard J Given | 400 E 52nd St Apt 4c, New York, NY 10022-6415 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).