KRISTIN M LUND PA-C (Credential# 743642) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
KRISTIN M LUND PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001893. The credential type is physician assistant. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 3014 Austin Dr Apt E105, Bremerton, WA 98312-5836. The current status is inactive.
| Licensee Name | KRISTIN M LUND PA-C |
| Credential ID | 743642 |
| Credential Number | 23.001893 |
| Credential Type | Physician Assistant |
| Business Address |
3014 Austin Dr Apt E105 Bremerton WA 98312-5836 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-03-19 |
| Effective Date | 2012-06-01 |
| Expiration Date | 2013-05-31 |
| Refresh Date | 2013-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 522148 | CSP.0044961 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-01-06 | 2009-01-06 - 2011-02-28 | INACTIVE |
| Street Address | 3014 AUSTIN DR APT E105 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-5836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly W Millard | 3010 Austin Dr, Bremerton, WA 98312 | Registered Nurse | 2006-03-27 ~ 2007-05-31 |
| Pamela J Walters · Barreca | 7013 Osprey Cir, Bremerton, WA 98312 | Registered Nurse | 1996-08-13 ~ 1997-09-30 |
| Wendy A King · Pella | 6961 Chico Way Nw, Bremerton, WA 98312 | Hairdresser/cosmetician | 2004-02-03 ~ 2006-03-31 |
| Franklin O Lockwood | 1302 N Rainier Ave, Bremerton, WA 98312 | Plumbing & Piping Limited Journeyperson | 2004-11-01 ~ 2005-10-31 |
| Harry F Apraham | 500 Mallard Ln. Nw, Bremerton, WA 98312 | Electrical Unlimited Contractor | ~ 1991-10-01 |
| Cong Ying Stonestreet | 4721 Nw Blackhawk Ct, Bremerton, WA 98312-1193 | Physician/surgeon | 2009-03-12 ~ 2010-04-30 |
| Nicole M Fontenot | 5121 Erlands Point Rd Nw, Bremerton, WA 98312-1430 | Registered Nurse - Temporary | 2010-06-02 ~ 2010-09-30 |
| Nikolas B Anderson | 2537 W Marine Dr, Bremerton, WA 98312-2025 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Kerry Lee Traugott | 1321 N Montgomery Ave, Bremerton, WA 98312-3055 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Elizabeth C Newton | 916 Wilbert Ave, Bremerton, WA 98312-3710 | Massage Therapist | 2018-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 98312 | |||
| City | BREMERTON |
| Zip Code | 98312 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BREMERTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark E Lund | 530 South 2nd St, Philadelphia, PA 19147 | Physician Assistant | 1994-06-21 ~ 1995-06-30 |
| Kristin L Schmitt Pa-c | 91 Fox Run Rd, Bolton, MA 01740 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin J Naramore | 9 Westmoreland Dr, West Hartford, CT 06117-2657 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kristin Aline O'connor | 11 Highland St, Wethersfield, CT 06109-4070 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin Hayes | 1180 Salt Road, Webster, NY 14580 | Physician Assistant | ~ |
| Kristin J Marcous Pa | Connecticut Gi, PC, Rocky Hill, CT 06067 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristin M Thomson | 4600 Connecticut Ave. Nw, Washington, DC 20008 | Physician Assistant | 2004-06-28 ~ 2005-06-30 |
| Kristin Elizabeth Hall | 76 Sunset Rdg, Rocky Hill, CT 06067-2913 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KRISTIN M LUND PA-C.
| 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).