CHANG SOO KIM (Credential# 924138) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHANG SOO KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047490. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 35 Deacons Way, New Canaan, CT 06840-4221. The current status is active.
| Licensee Name | CHANG SOO KIM |
| Credential ID | 924138 |
| Credential Number | CSP.0047490 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
35 Deacons Way New Canaan CT 06840-4221 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-04-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 899431 | 1.048229 | Physician/Surgeon | 2009-11-04 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 35 DEACONS WAY |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-4221 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Suk C Chang Md | 214 Amity Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lin-yu D Chang | 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chang B Son | 78 Olive St #210, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| William G Chang | 27 Stacey Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theodore K Chang | 88 Brownstone Way Apt 104, Englewood, NJ 07631-1202 | Controlled Substance Registration for Practitioner | 2017-03-02 ~ 2019-02-28 |
| Jason L Chang Md | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karolyn A Chang | 1426 Elm St, Peekskill, NY 10566-4802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zenas Chang | 199 Foxboro Dr., Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ho-choong Chang | 76 New Britain Ave, Hartford, CT 06106-3305 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CHANG SOO KIM.
| 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).