DAVID A LANE (Credential# 551558) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 5, 1995. The license expiration date date is June 30, 1996. The license status is INACTIVE.
DAVID A LANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033959. The credential type is physician/surgeon. The effective date is June 5, 1995. The expiration date is June 30, 1996. The business address is Primary Care Group, San Diego, CA 92133-1536. The current status is inactive.
| Licensee Name | DAVID A LANE |
| Credential ID | 551558 |
| Credential Number | 1.033959 |
| Credential Type | Physician/Surgeon |
| Business Address |
Primary Care Group San Diego CA 92133-1536 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-08-05 |
| Effective Date | 1995-06-05 |
| Expiration Date | 1996-06-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162722 | CSP.0022816 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-01-19 - 1996-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Lane | Bayne Street, Norwalk, CT 06800 | Notary Public Appointment | 1968-02-01 ~ 1973-03-31 |
| Street Address | PRIMARY CARE GROUP |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92133-1536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kids Included Together | 2820 Roosevelt Rd Ste 202, San Diego, CA 92106-6146 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Lindsey Deborah Baumoel | 3940 Honeycutt St, San Diego, CA 92109 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Heather M Pannone | 3439 Mount Aachen Ave, San Diego, CA 92111-4526 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Petco #3718 | 9125 Rehco Rd, San Diego, CA 92121-2270 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sherpa Clinical Packaging LLC · Pci Pharma Services | 6166 Nancy Ridge Dr, San Diego, CA 92121-3223 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | ~ |
| Jasmine Palmiano Henderson | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Rory Thurston Healy | 4078 Hamilton St Apt 8, San Diego, CA 92104-1746 | Certified Public Accountant License | ~ |
| Synthia Lynette Jahns | 9505 Genesee Ave Apt 511, San Diego, CA 92121-2007 | Registered Nurse | 2020-06-19 ~ 2021-05-31 |
| Dylan Mcmurtry | 13572 Arroyo Dale Ln, San Diego, CA 92130-5789 | Home Improvement Salesperson | 2020-06-11 ~ 2020-11-30 |
| Adel A Al-marshad Md | 5360 Toscana Way, San Diego, CA 92122 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in SAN DIEGO | |||
| City | SAN DIEGO |
| Zip Code | 92133 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David H Berman | 1 Little Fox Lane, Westport, CT 06880 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| David M Ferriss Jr | 312 Deerwood Lane, Brentwood, TN 37027 | Physician/surgeon | 1993-01-25 ~ 1994-02-28 |
| David M Zolov Md | 62 Sugar Lane, Newtown, CT 06470-1768 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| David Kreis Md | 42 Whitney Lane, Orange, CT 06477 | Physician/surgeon | 1998-04-15 ~ 1999-06-30 |
| Lourdes G Merlo | 1 David Lane, Yonkers, NY 10701 | Physician/surgeon | 2008-12-26 ~ 2010-01-31 |
| David J Nelligan | 139 Magna Lane, Westbrook, CT 06498 | Physician/surgeon | 2008-04-29 ~ 2009-05-31 |
| David F Mcmahon | 29 Puritan Lane, Swampscott, MA 09107 | Physician/surgeon | 1997-02-06 ~ 1998-02-28 |
| David E Antman | 420 Andrew Lane, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David M Rogovitz | 13 Finch Lane, Saunderstown, RI 02874 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| David P Lauler | 12 Sill Lane, Old Lyme, CT 06371 | Physician/surgeon | 1998-02-25 ~ 1999-04-30 |
Please comment or provide details below to improve the information on DAVID A LANE.
| 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).