KATHERINE M WAGNER-REISS MD (Credential# 545527) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.
KATHERINE M WAGNER-REISS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025577. The credential type is physician/surgeon. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is 434 Frogtown Rd, New Canaan, CT 06840-4411. The current status is inactive.
| Licensee Name | KATHERINE M WAGNER-REISS MD |
| Credential ID | 545527 |
| Credential Number | 1.025577 |
| Credential Type | Physician/Surgeon |
| Business Address |
434 Frogtown Rd New Canaan CT 06840-4411 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 1984-05-22 |
| Effective Date | 2015-12-01 |
| Expiration Date | 2016-11-30 |
| Refresh Date | 2017-09-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 492944 | CSP.0043049 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-01-29 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 434 FROGTOWN RD |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-4411 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lia Marie Ferro | 432 Frogtown Rd, New Canaan, CT 06840-4411 | Honey Bee Registration | 2020-04-13 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reiss Excavating Inc | 400 South Union Street, Guilford, CT 06437 | New Home Construction Contractor | ~ |
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Karla L Wagner | 19 Wright St #2, Stamford, CT 06902 | Physician/surgeon | 1993-12-01 ~ 1994-10-31 |
| Katherine M Reiss | C/o Rothstein & Company, LLC, Avon, CT 06001 | Certified Public Accountant License | 2013-04-10 ~ 2013-12-31 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lloyd D Wagner | 223 24th St, Santa Monica, CA 90402-2515 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Elliott J Wagner | 200 E 66th St # C904, New York, NY 10065-9175 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeffrey A Wagner Md | 30 Davis Hill Rd, Weston, CT 06883 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jesse Wagner Md | 25 Lake Ridge Dr, Marlborough, CT 06447 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on KATHERINE M WAGNER-REISS MD.
| 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).