KATHRYN WAGNER (Credential# 1488914) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2022. The license status is ACTIVE.
KATHRYN WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058309-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2022. The business address is 395 Brittany Farms Rd Apt 415, New Britain, CT 06053-1155. The current status is active.
| Licensee Name | KATHRYN WAGNER |
| Credential ID | 1488914 |
| Credential Number | 1.058309-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
395 Brittany Farms Rd Apt 415 New Britain CT 06053-1155 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425326 | CSP.0065544 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn Wagner | 96 Clark Street, Wolcott, CT 06716 | Radiographer | 2019-10-01 ~ 2020-09-30 |
| Street Address | 395 BRITTANY FARMS RD APT 415 |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06053-1155 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rawan J Sarsour | 395 Brittany Farms Rd Apt 411, New Britain, CT 06053-1155 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anetta Kuzawa · Kacmarska | 41 Charlene Dr, New Britain, CT 06053 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ana Maria Hernandez | 108 Mcclintock St.apt2 South, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Salvatore Parafati | 118 Jordan Street, New Britain, CT 06053 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| New Britain Noble LLC | 973 Farmington Ave, New Britain, CT 06053 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Zhen Ying Lai | 274 Paul Manafort Dr, New Britain, CT 06053 | Nail Technician | ~ |
| Kwame Kusi | 22 Dorman Rd, New Britain, CT 06053 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Nelida Rodriguez | 22 Marmon Street, New Britain, CT 06053 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Dany Heng | 251 Batterson Dr, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Daniela Stephania Ospina | 156 Pierremount Ave, New Britain, CT 06053 | Registered Nurse | 2020-06-22 ~ 2021-01-31 |
| Pratima Aryal | 55 Brittany Farms Road H216, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06053 | |||
| City | NEW BRITAIN |
| Zip Code | 06053 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW BRITAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn R Giuseppone | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Kathryn May Davis | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kathryn Sommers | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kathryn Kreicher | 36 Harbor View Ave, Norwalk, CT 06854-4822 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Kathryn Jeanne Henault | 234 Spielman Highway, Burlington, CT 06013 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Elissa Kathryn Zirinsky | 360 State St Apt 2421, New Haven, CT 06510-3624 | Resident Physician | 2019-07-11 ~ 2021-06-30 |
| Kathryn Anne Zuchowski | 1245 Chapel St Apt 524, New Haven, CT 06511-4659 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kathryn A Becker | Uconn School of Medicine, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Hilary P Wagner | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Kathryn Elliott Nagel | 20 York Street Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KATHRYN WAGNER.
| 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).