JAMES L. WAGNER (Credential# 1149631) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JAMES L. WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054217. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 1608 Riverview Rd, Chattanooga, TN 37405-3131. The current status is inactive.
| Licensee Name | JAMES L. WAGNER |
| Credential ID | 1149631 |
| Credential Number | CSP.0054217 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1608 Riverview Rd Chattanooga TN 37405-3131 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-06-06 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1143567 | 1.052097 | Physician/Surgeon | 2013-06-06 | 2015-08-01 - 2016-07-31 | INACTIVE |
| Street Address | 1608 RIVERVIEW RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-3131 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Lindberg | 328 Cherokee Blvd Apt 262, Chattanooga, TN 37405 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Katelyn Shaw | 815 Mt. Vernon Ave, Chattanooga, TN 37405 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Sean M Harper | 1185 Mountain Creek Rd Apt# 1314, Chattanooga, TN 37405 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Stephanie J Hamel | 326 B Thompson St, Chattanooga, TN 37405 | Registered Nurse | 2012-03-15 ~ 2013-04-30 |
| Becki A Chastain | 1823 Auburndale Ave, Chattanooga, TN 37405-1403 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
| Marvin C Culbertson IIi | 1001 Summer St, Chattanooga, TN 37405-2948 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Pamela G Roberts | 1330 Hixson Pike, Chattanooga, TN 37405-3141 | Registered Nurse - Temporary | 2016-12-12 ~ 2017-04-10 |
| Jessica T Ksiazek | 125 Cherokee Blvd Apt 303, Chattanooga, TN 37405-3895 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Diane Pennell Walton | 215 Baker St, Chattanooga, TN 37405-4103 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| May Dee Gemilo | 900 Mountain Creek Rd Apt R297, Chattanooga, TN 37405-4515 | Registered Nurse - Temporary | 2017-01-05 ~ 2017-05-04 |
| Find all Licenses in zip 37405 | |||
| City | CHATTANOOGA |
| Zip Code | 37405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHATTANOOGA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Wagner | 540 Route 148, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica L Wagner | 227 Church St Apt 7c, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Krystn R Wagner | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian K Wagner | 11 South Rd, Farmington, CT 06032-2483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter John Wagner | 162 Dawley Dr., Stonington, CT 06378 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Todd L Wagner Do | 40 Middlefield St, Groton Long Pt, CT 06340 | Controlled Substance Registration for Practitioner | ~ 2001-02-28 |
| Annette V Wagner Md | 7 Niagara Pier, Erie, PA 16507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph R Wagner Md | 85 Seymour St Suite 416, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cliff Wagner Md | 161 Talcott Notch Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew P Wagner | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).