EDWARD TRACY SALL (Credential# 2054728) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
EDWARD TRACY SALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 5471 Kearny Villa Rd, San Diego, CA 92123-1151. The current status is pending.
| Licensee Name | EDWARD TRACY SALL |
| Credential ID | 2054728 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
5471 Kearny Villa Rd San Diego CA 92123-1151 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2020-06-15 |
| Street Address | 5471 KEARNY VILLA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1151 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John William Cronin | 5471 Kearny Villa Rd, San Diego, CA 92123 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Better Night LLC | 5471 Kearny Villa Rd Ste 203, San Diego, CA 92123-1151 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sleep Data Holdings LLC | 5471 Kearny Villa Rd #200, San Diego, CA 92123 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Taryn Bartolucci | 8793 Lightwave Ave, San Diego, CA 92123 | Registered Nurse | 2019-10-16 ~ 2020-06-30 |
| C & E Medical Inc | 3914 Murphy Canon Rd Ste #a-212, San Diego, CA 92123 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-06-07 ~ 2019-06-30 |
| Cynthia Lee Carson Pa | 3043 West Canyon Ave, San Diego, CA 92123 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 6:10 Services | 8575 Gibbs Drive, Suite 190, San Diego, CA 92123 | Public Charity | 2008-03-01 ~ 2009-02-28 |
| Irene P Champine | 8501 Neva Ave, San Diego, CA 92123 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Joanne A Tatro | 7777 Nightingale Wy, San Diego, CA 92123 | Registered Nurse | 2011-04-01 ~ 2012-03-31 |
| Shannon Cyranowicz | 9064 Gramercy Dr 56, San Diego, CA 92123 | Hairdresser/cosmetician | 1998-06-18 ~ 1999-06-30 |
| Michele B Sukatski | 7962 Nightingale Way, San Diego, CA 92123 | Hairdresser/cosmetician | 1994-05-13 ~ 1995-02-28 |
| Grace M Tong | 2725 West Canyon Avenue; Apartment #137, San Diego, CA 92123 | Pharmacy Intern | 2000-09-27 ~ 2004-09-30 |
| Find all Licenses in zip 92123 | |||
| City | SAN DIEGO |
| Zip Code | 92123 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Mack | 540 Litchfield St, Torrington, CT 06790-6679 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lee Tracy Silva | 1275 Summer St Ste 105, Stamford, CT 06905-5315 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tracy-ann M Clarke-leconte | 1 Jeanine Ct, Dix Hills, NY 11746 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Tracy A Kritz | 1146 W 17th St, San Pedro, CA 90731-3834 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Bliss W. Clark | 3063 Remington Way, Tracy, CA 95377-6678 | Physician/surgeon | 2011-12-01 ~ 2012-12-31 |
| William Tracy Schmidt | 1281 E Main St, Stamford, CT 06902-3544 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Tracy A Minichiello | 80-1 Cosey Beach Ave, East Haven, CT 06512 | Physician/surgeon | 1998-09-02 ~ 1999-09-30 |
| Tracy L Lawrence Black | 53 Stonewall Cir, West Harrison, NY 10604-1126 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Tracy L Gulling-leftwich | 28360 Center Ridge Rd Apt 2110, Westlake, OH 44145-6797 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on EDWARD TRACY SALL.
| 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).