JOANNE LASTRI CAMPBELL (Credential# 1465348) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JOANNE LASTRI CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004086. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 5717 Pacific Center Blvd, San Diego, CA 92121. The current status is active.
| Licensee Name | JOANNE LASTRI CAMPBELL |
| Credential ID | 1465348 |
| Credential Number | 23.004086 |
| Credential Type | Physician Assistant |
| Business Address |
5717 Pacific Center Blvd San Diego CA 92121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| Street Address | 5717 Pacific Center Blvd |
| City | San Diego |
| State | CA |
| Zip Code | 92121 |
| 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 |
| 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 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| Joanne B Concato Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joanne Cvijic Pa-c | 83 Rockledge Rd#2b, Hartsdale, NY 10530 | Physician Assistant | 2006-04-27 ~ 2007-04-30 |
| Joanne Churak | 121 Ruy Lane, Southington, CT 06489 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Fayoma Campbell Pa | 7 Currier Ct, Cheshire, CT 06410-1454 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Stacie B Campbell | 646 Anderson Ave., New York, NY 10024 | Physician Assistant | 2005-09-01 ~ 2006-09-30 |
| Joanne Tischer | 114 Spindle Hill Rd, Wolcott, CT 06716 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Marian Campbell-gethers | 68 Mcweeney Dr, Waterbury, CT 06705 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Juliane Campbell | 7 Corey Colonial, Agawam, MA 01001-2725 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joanne M Berlin Pa | 1146 Johnson Road, Woodbridge, CT 06525 | Physician Assistant | 1996-06-19 ~ 1997-07-31 |
| Sarah J Campbell | 464 Congress Avenue, Suite 260, New Haven, CT 06519 | Resident Physician Assistant | 2018-05-28 ~ 2019-12-31 |
Please comment or provide details below to improve the information on JOANNE LASTRI CAMPBELL.
| 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).