DEBRA C VAN WAGNER
Registered Nurse


Address: 153 Lycoming Rd, Rochester, NY 14623

DEBRA C VAN WAGNER (Credential# 614291) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.

Business Overview

DEBRA C VAN WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E44333. The credential type is registered nurse. The effective date is August 9, 2004. The expiration date is August 31, 2005. The business address is 153 Lycoming Rd, Rochester, NY 14623. The current status is inactive.

Basic Information

Licensee Name DEBRA C VAN WAGNER
Credential ID 614291
Credential Number 10.E44333
Credential Type Registered Nurse
Business Address 153 Lycoming Rd
Rochester
NY 14623
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1981-09-14
Effective Date 2004-08-09
Expiration Date 2005-08-31
Refresh Date 2009-07-08

Office Location

Street Address 153 LYCOMING RD
City ROCHESTER
State NY
Zip Code 14623

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Mark D Picard 3159 Winton Road South, Rochester, NY 14623 Professional Engineer 2020-02-01 ~ 2021-01-31
General Mills Operations Inc 155 Balta Dr, Rochester, NY 14623 Bakery 2006-07-01 ~ 2007-06-30
Lanovara Food Distributors Inc 208 Mushroom Blvd, Rochester, NY 14623 Bakery 2001-07-01 ~ 2002-06-30
Ann R Curti 390 Clay Road, Rochester, NY 14623 Master's Level Social Worker 2015-08-04 ~ 2015-12-31
Louis E Guillory 1760 Crittenden Rd Apt 1, Rochester, NY 14623 Dentist 2013-12-01 ~ 2014-11-30
Renee Frances Casler 990 Calkins Rd, Rochester, NY 14623 Landscape Architect ~
Sharon A Henry 74 Lysander Drive, Rochester, NY 14623 Radiographer 2008-08-25 ~ 2009-08-31
Hyunsil Choi 5 Furlong Road, Rochester, NY 14623 Chiropractor 2005-02-08 ~ 2005-09-30
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City ROCHESTER
Zip Code 14623
License Type Registered Nurse
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Dataset Information

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).

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