ANDREW J. WAGNER
Physician/surgeon


Address: Emergency Medicine Physicians, Canton, OH 44718

ANDREW J. WAGNER (Credential# 1067579) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

ANDREW J. WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050990. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is Emergency Medicine Physicians, Canton, OH 44718. The current status is active.

Basic Information

Licensee Name ANDREW J. WAGNER
Credential ID 1067579
Credential Number 1.050990
Credential Type Physician/Surgeon
Business Address Emergency Medicine Physicians
Canton
OH 44718
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-06-04
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-11-08

Other licenses

ID Credential Code Credential Type Issue Term Status
1081096 CSP.0052954 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-07-06 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address EMERGENCY MEDICINE PHYSICIANS
City CANTON
State OH
Zip Code 44718

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Heather R. Godale Emergency Medicine Physicians, Canton, OH 44718 Controlled Substance Registration for Practitioner 2019-03-14 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Dominic J Bagnoli Jr. 4535 Dressler Road N.w., Canton, OH 44718 Physician/surgeon 2020-03-01 ~ 2021-02-28
Valerie J. De Maio 4535 Dressler Road Nw, Canton, OH 44718 Physician/surgeon 2020-05-01 ~ 2021-04-30
David C Packo Emergency Medicine Physicans, Canton, OH 44718 Physician/surgeon 2018-02-01 ~ 2019-01-31
Stephen J Sanofsky 2930 Sussex Nw, Canton, OH 44718 Physician/surgeon 2013-10-01 ~ 2014-09-30
Ghassan H Kabbara 6615 Knightsbridge Ave Nw, Canton, OH 44718 Professional Engineer 2006-02-01 ~ 2007-01-31
William D Morrison 5958 Shakertown Dr, Canton, OH 44718 Respiratory Care Practitioner 1999-05-27 ~ 2000-05-31
Monty R Reed 5522 West Blvd Nw, Canton, OH 44718 Professional Engineer 2007-02-01 ~ 2008-01-31
Jeremy D Tucker 4535 Dressler Road Nw, Canton, OH 44718 Physician/surgeon 2020-04-01 ~ 2021-03-31
Frank Skobel 4535 Dressler Rd Nw, Canton, OH 44718-2545 Physician/surgeon 2020-07-01 ~ 2021-06-30
Richard L Maenza 4535 Dressler Rd Nw, Canton, OH 44718-2545 Physician/surgeon 2020-05-01 ~ 2021-04-30
Find all Licenses in zip 44718

Competitor

Search similar business entities

City CANTON
Zip Code 44718
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CANTON

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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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