KRISTIN WAGNER APRN
Registered Nurse


Address: 614 Cedar Hollow Drive, Rocky Hill, CT 06067

KRISTIN WAGNER APRN (Credential# 656543) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2001. The license expiration date date is April 30, 2002. The license status is INACTIVE.

Business Overview

KRISTIN WAGNER APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R56802. The credential type is registered nurse. The effective date is March 14, 2001. The expiration date is April 30, 2002. The business address is 614 Cedar Hollow Drive, Rocky Hill, CT 06067. The current status is inactive.

Basic Information

Licensee Name KRISTIN WAGNER APRN
Credential ID 656543
Credential Number 10.R56802
Credential Type Registered Nurse
Business Address 614 Cedar Hollow Drive
Rocky Hill
CT 06067
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-05-07
Effective Date 2001-03-14
Expiration Date 2002-04-30
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
680299 12.002121 Advanced Practice Registered Nurse 1999-08-11 2001-03-14 - 2002-04-30 INACTIVE
240167 CSP.0029829 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE
222447 CSP.0028948 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-10-29 - 2000-02-28 INACTIVE

Office Location

Street Address 614 CEDAR HOLLOW DRIVE
City ROCKY HILL
State CT
Zip Code 06067

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John J. Driscoll United Labor Agency 56 Town Line Road, Rocky Hill, CT 06067 Public Charity 2019-06-01 ~ 2020-05-31
Rose J Dibacco 21 Woodland Rd, Rocky Hill, CT 06067 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
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Kaci Courtemanche 1105 Harbor View Drive, Rocky Hill, CT 06067 Master's Level Social Worker - Temporary Permit ~
Hailing Colon 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 Nail Technician ~
Diana C D'angelo 1-d Carillon Drive, Rocky Hill, CT 06067 Massage Therapist 2020-07-01 ~ 2022-06-30
Carmelo Ferla 54 Wright Rd, Rocky Hill, CT 06067 Architect 2020-08-01 ~ 2021-07-31
Jessica Condon 7 Robbins Lane, Rocky Hill, CT 06067 Registered Nurse ~
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Competitor

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City ROCKY HILL
Zip Code 06067
License Type Registered Nurse
License Type + County Registered Nurse + ROCKY HILL

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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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