LYNN M HALL
Physician Assistant


Address: 722 Vauxhall St Ext, Waterford, CT 06385

LYNN M HALL (Credential# 741814) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 28, 1994. The license expiration date date is March 31, 1995. The license status is INACTIVE.

Business Overview

LYNN M HALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000065. The credential type is physician assistant. The effective date is February 28, 1994. The expiration date is March 31, 1995. The business address is 722 Vauxhall St Ext, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name LYNN M HALL
Credential ID 741814
Credential Number 23.000065
Credential Type Physician Assistant
Business Address 722 Vauxhall St Ext
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-07-23
Effective Date 1994-02-28
Expiration Date 1995-03-31
Refresh Date 2009-07-08

Office Location

Street Address 722 VAUXHALL ST EXT
City WATERFORD
State CT
Zip Code 06385

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Vincent F Donato 26 Wild Rose Avenue, Waterford, CT 06385 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Mark A Herter 51 Quarry Rd, Waterford, CT 06385 Architect 2020-08-01 ~ 2021-07-31
Pamela A Manke 54 Rope Ferry Rd., Waterford, CT 06385 Professional Counselor 2020-08-01 ~ 2021-07-31
Carol Winslow 18 Myrock Ave, Waterford, CT 06385 Marital and Family Therapist 2020-09-01 ~ 2021-08-31
Donna M Rivero · Knupp 3 Ridgewood Ave, Waterford, CT 06385 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Margaret A Goldschneider · Chapman 3 High Ridge Drive, Waterford, CT 06385 Registered Nurse 2020-09-01 ~ 2021-08-31
Frank R Dellacono Md 201 Boston Post Road, Waterford, CT 06385 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mathew H Tellier 25 Locust Ct., Waterford, CT 06385 Backflow Prevention Device Tester 2020-06-18 ~ 2023-03-31
Renata Kamburi 16 Marilyn Road, Waterford, CT 06385 Esthetician 2020-06-20 ~ 2021-12-31
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Competitor

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City WATERFORD
Zip Code 06385
License Type Physician Assistant
License Type + County Physician Assistant + WATERFORD

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Dataset Information

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).

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