PETER JOHN WAGNER (Credential# 1643694) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETER JOHN WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070559. The credential type is controlled substance registration for practitioner. The effective date is April 2, 2019. The expiration date is February 28, 2021. The business address is 162 Dawley Dr., Stonington, CT 06378. The current status is active.
| Licensee Name | PETER JOHN WAGNER |
| Credential ID | 1643694 |
| Credential Number | CSP.0070559 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
162 Dawley Dr. Stonington CT 06378 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-02 |
| Effective Date | 2019-04-02 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1623997 | 1.062528 | Physician/Surgeon | 2019-04-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 162 Dawley Dr. |
| City | Stonington |
| State | CT |
| Zip Code | 06378 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edith E Morrison-morren | 9 Oak St, Stonington, CT 06378 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joseph Vito Larico | 14 Sherwood Dr., Stonington, CT 06378 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Sound Building Construction LLC | 1034 Pequot Trail, Stonington, CT 06378 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Caroline Marion Georgetti | 9 Oak Drive, Stonington, CT 06378 | Acupuncturist | 2020-08-01 ~ 2022-07-31 |
| John P Carbo | 65 Alpha Avenue, Stonington, CT 06378 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| John Kelley Memorial Fund, Inc | 152 Water Street, Stonington, CT 06378 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Donna L Starling | 647 New London Turnp, Stonington, CT 06378 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Michael J Lenihan | 16 Sherwood Dr, Stonington, CT 06378 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Raymond Joseph Dussault | 1388 Pequot Trail, Stonington, CT 06378 | Casino Class I Employee | 2019-12-03 ~ 2020-02-23 |
| The Global Child | 769 Stonington Road, Stonington, CT 06378 | Child Care Center | 2019-10-01 ~ 2023-09-30 |
| Find all Licenses in zip 06378 | |||
| City | Stonington |
| Zip Code | 06378 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stonington |
| 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 |
| Brian K Wagner | 11 South Rd, Farmington, CT 06032-2483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Krystn R Wagner | 374 Grand Ave, New Haven, CT 06513-3733 | 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 |
| Cliff Wagner Md | 161 Talcott Notch Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Todd L Wagner Do | 40 Middlefield St, Groton Long Pt, CT 06340 | Controlled Substance Registration for Practitioner | ~ 2001-02-28 |
| James L. Wagner | 1608 Riverview Rd, Chattanooga, TN 37405-3131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).