KATIE LYNN SCOTT (Credential# 1637001) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
KATIE LYNN SCOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004441. The credential type is physician assistant. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 5717 Pacific Center Blvd, San Diego, CA 92121-4250. The current status is active.
| Licensee Name | KATIE LYNN SCOTT |
| Credential ID | 1637001 |
| Credential Number | 23.004441 |
| Credential Type | Physician Assistant |
| Business Address |
5717 Pacific Center Blvd San Diego CA 92121-4250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-03 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-07 |
| Street Address | 5717 Pacific Center Blvd |
| City | San Diego |
| State | CA |
| Zip Code | 92121-4250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siri Martin | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joanne Lastri Campbell | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joshua Allen Rodgers | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Monica S Sanchez | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karla Kanongata'a Mataele | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jennifer Yeh Chiang | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Julie Akiko Gladsjo | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert Michael Stickler | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-06-06 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jasmine Palmiano Henderson | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Erica Katelyn Lettow | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Teresa Lynne Slager | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| David Nicholas Lortscher | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Melinda Eileen Ly | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Advanced Practice Registered Nurse | 2020-01-16 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suneva Medical Inc. | 5870 Pacific Center Blvd, San Diego, CA 92121 | Securities - Exemptions | 2020-05-29 ~ |
| Nicole Golding | 10221 Wateridge Circle, San Diego, CA 92121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nancy M Satur | 5717 Pacific Center Blvd, Suite 200, San Diego, CA 92121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lauren Natalie Fox | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Drawbridge Health · Drawbridge Health, Inc | 11535 Sorrento Valley Road, San Diego, CA 92121 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-01-22 ~ |
| Michael E Wall | 4115 Sorrento Valley Blvd, San Diego, CA 92121 | Professional Engineer | 2020-01-14 ~ 2021-01-31 |
| Robyn Rebecca Heister | 4570 Executive Drive, San Diego, CA 92121 | Physician/surgeon | 2019-12-02 ~ 2020-06-30 |
| Ethos Discovery | 10455 Sorrento Valley Road, San Diego, CA 92121 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Clarify Medical, Inc. | 10505 Sorrento Valley Road, San Diego, CA 92121 | Securities - Exemptions | 2019-11-07 ~ |
| Zeno Pharma, LLC | 10835 Road To The Cure, San Diego, CA 92121 | Securities - Exemptions | 2019-09-25 ~ |
| Find all Licenses in zip 92121 | |||
| City | San Diego |
| Zip Code | 92121 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + San Diego |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Katie L Merithew | 10 Phelps Dr, Hamden, CT 06514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie S Kwok Pa-c | 177 Judson Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Katie M Roach | 3 David Drive, Simsbury, CT 06070 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie A Coppola | 288 Haddam Quarter Rd, Durham, CT 06422-1618 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katie J Arey | 9 Cobblestone Dr, Broad Brook, CT 06016-1200 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lynn M Fairchild | 122 Atwater Rd, Canton, CT 06019 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lynn M Hall | 722 Vauxhall St Ext, Waterford, CT 06385 | Physician Assistant | 1994-02-28 ~ 1995-03-31 |
| Lynn T Tran Pa | 34-43 57 Street, Woodside, NY 11377 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
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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).