MELINDA EILEEN LY (Credential# 1999690) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 16, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MELINDA EILEEN LY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008701. The credential type is advanced practice registered nurse. The effective date is January 16, 2020. The expiration date is December 31, 2020. The business address is 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250. The current status is active.
| Licensee Name | MELINDA EILEEN LY |
| Credential ID | 1999690 |
| Credential Number | 12.008701 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
5717 Pacific Center Blvd Ste 200 San Diego CA 92121-4250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-16 |
| Effective Date | 2020-01-16 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1692781 | 10.167153 | Registered Nurse | 2019-12-20 | 2019-12-20 - 2020-12-31 | ACTIVE |
| Street Address | 5717 PACIFIC CENTER BLVD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4250 |
| 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 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 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 |
| Siri Martin | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| 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 ~ |
| Find all Licenses in zip 92121 | |||
| City | SAN DIEGO |
| Zip Code | 92121 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melinda S Benger | 511 Whitney Ave, New Haven, CT 06511 | Advanced Practice Registered Nurse | 2003-03-31 ~ 2004-05-31 |
| Lionel D Rajotte Jr | 100 Melinda Lane, Bristol, CT 06010 | Advanced Practice Registered Nurse | 1992-05-27 ~ 1993-04-30 |
| Melinda Smith Aprn | 25 Coop Road, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Eileen M Martinez | 130 Walnut St, Bridgeport, CT 06604 | Advanced Practice Registered Nurse | 2005-10-21 ~ 2006-10-31 |
| Eileen A Hurley | 17 Ridgeway Rd, Easton, CT 06612-1717 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eileen M Moore | 215 Lambtown Rd, Ledyard, CT 06339 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eileen M Condon | 681 Wigwam Lane, Stratford, CT 06614-2411 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Eileen B Moynihan | 3618 Corlear Ave, Bronx, NY 10463-2306 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Eileen Pond | 51 Old Village Circle, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Eileen R Cusick | 91 Emily Way, West Hartford, CT 06107 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on MELINDA EILEEN LY.
| 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).