SAM-SUN LEE (Credential# 703384) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 27, 2001. The license expiration date date is December 31, 2002. The license status is INACTIVE.
SAM-SUN LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008932. The credential type is dentist. The effective date is December 27, 2001. The expiration date is December 31, 2002. The business address is 263 Farmington Ave, Farmington, CT 06030. The current status is inactive.
| Licensee Name | SAM-SUN LEE |
| Credential ID | 703384 |
| Credential Number | 2.008932 |
| Credential Type | Dentist |
| Business Address |
263 Farmington Ave Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-09-13 |
| Effective Date | 2001-12-27 |
| Expiration Date | 2002-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 263 Farmington Ave |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Dentist |
| License Type + County | Dentist + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Narinderjit Mahal | CT | Dentist | ~ |
| Priscila M Guzman | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Charles E Ray | P.o. Box E, Middlebury, CT 06762 | Dentist | 2007-04-26 ~ 2008-05-31 |
| Su Jung Kim | 111 Park St Apt 12t, New Haven, CT 06511-5421 | Dentist | ~ |
| Jay F Ponto | 302 2nd St Apt 7b, Brooklyn, NY 11215-8507 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Yoo Bin Lee | 11 Ridgecrest N, Scarsdale, NY 10583 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
| Yoo Kon Kim | 181 Market St, New Britain, CT 06051-1748 | Dentist | 2013-12-01 ~ 2014-11-30 |
Please comment or provide details below to improve the information on SAM-SUN LEE.
| 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).