LYNN WANDERER-POTTER (Credential# 741976) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 1981. The license expiration date date is July 31, 1994. The license status is INACTIVE.
LYNN WANDERER-POTTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000227. The credential type is physician assistant. The effective date is January 1, 1981. The expiration date is July 31, 1994. The business address is 5340 San Mateo Ne, Albuquerque, NM 87109. The current status is inactive.
| Licensee Name | LYNN WANDERER-POTTER |
| Credential ID | 741976 |
| Credential Number | 23.000227 |
| Credential Type | Physician Assistant |
| Business Address |
5340 San Mateo Ne Albuquerque NM 87109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-15 |
| Effective Date | 1981-01-01 |
| Expiration Date | 1994-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 5340 SAN MATEO NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| American Indian Science and Engineering Society | 4263 Montgomery Blvd Ne, Albuquerque, NM 87109 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| John Basil Grapsas | 6030 Katson Ne, Albuquerque, NM 87109 | Professional Engineer | 2001-07-17 ~ 2002-01-31 |
| Constance A Martin | 7524 Northridge St, Albuquerque, NM 87109 | Registered Nurse | 1995-03-20 ~ 1996-03-31 |
| Maureen D Quinn | 8915 Liberty Dr Ne, Albuquerque, NM 87109 | Registered Nurse | 1995-02-14 ~ 1995-12-31 |
| Jeffrey J Supple | 7000 Louisiana Blvd, Albuquerque, NM 87109 | Dentist | 1981-01-01 ~ 1993-08-31 |
| Sandra B Rausch | 7625 Arroyd Del 050, Albuquerque, NM 87109 | Registered Nurse | 2000-10-02 ~ 2001-09-30 |
| Jeffrey H Karp | 5404 Montgomery Blvd Ne, Albuquerque, NM 87109 | Dentist | 1998-12-04 ~ 2000-01-31 |
| Darlyn B Josef · Decampo | 7501 Montgomery Blvd. Ne, Albuquerque, NM 87109 | Registered Nurse | 2003-01-30 ~ 2004-01-31 |
| National Specialty Services Inc | 5801 Midway Park Boulevard Ne, Albuquerque, NM 87109 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1997-08-26 ~ 1998-06-30 |
| National Specialty Service Inc | 5801 Midway, Albuquerque, NM 87109 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1996-03-15 ~ 1996-06-30 |
| Find all Licenses in zip 87109 | |||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ALBUQUERQUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly P Parks · Potter | 92 Main St Unit #404, Deep River, CT 06417 | Physician Assistant | 1994-03-15 ~ 1995-05-31 |
| Bruery Terreux Wanderer | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2017-08-08 ~ 2020-08-07 |
| Lynn T Tran Pa | 34-43 57 Street, Woodside, NY 11377 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Lynn M Fairchild | 122 Atwater Rd, Canton, CT 06019 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lynn M Hall | 722 Vauxhall St Ext, Waterford, CT 06385 | Physician Assistant | 1994-02-28 ~ 1995-03-31 |
| Lynn Higgins | 2928 Main St, Glastonbury, CT 06033-1007 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lynn M Baylis | 97 Head of Meadow Rd, Newtown, CT 06470 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer M Lynn | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | ~ 1999-11-30 |
| Lynn Bujnevicie Larochelle Pa | 174 Tanglewood Dr, Longmeadow, MA 01106-1651 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
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| 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).