BRENT MICHAEL SELDERS (Credential# 1621243) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
BRENT MICHAEL SELDERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004439. The credential type is physician assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 5717 Pacific Center Blvd, San Diego, CA 92121. The current status is active.
| Licensee Name | BRENT MICHAEL SELDERS |
| Credential ID | 1621243 |
| Credential Number | 23.004439 |
| Credential Type | Physician Assistant |
| Business Address |
5717 Pacific Center Blvd San Diego CA 92121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-31 |
| Street Address | 5717 Pacific Center Blvd, |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Natalie Fox | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jamie Lynn Evert | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Emily L Gruber | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Leslie Anne Lang | 5717 Pacific Center Blvd, San Diego, CA 92121-2066 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lindsay Christen Ambur | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-08-01 ~ 2020-08-31 |
| Lea Marie Pace | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | ~ |
| 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 |
| 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 |
|---|---|---|---|
| Brent Pleimann Pa | 89 Masters Ln, Milford, CT 06461-1690 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Brent A Albright | 41 Tuttle Rd, Middletown, CT 06457-1827 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
| Brent M Reilly Pa-c | 1796 Stone Ave, East Meadow, NY 11554-1007 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Brent Michael Berry | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-09-16 ~ 2019-09-22 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael J Hann | 295 E Village Rd, Monroe, CT 06468-3000 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Michael F Lachowicz | 27 Old Farms Rd, Cheshire, CT 06410-3757 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael R Ellwood | 12784 Fox Keep Run, Fairfax, VA 22033-2233 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
Please comment or provide details below to improve the information on BRENT MICHAEL SELDERS.
| 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).