BAKISTA WAGNAC
Registered Nurse


Address: 92 Kaye Vue Dr Apt B, Hamden, CT 06514

BAKISTA WAGNAC (Credential# 1198348) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

BAKISTA WAGNAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.115681. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 92 Kaye Vue Dr Apt B, Hamden, CT 06514. The current status is active.

Basic Information

Licensee Name BAKISTA WAGNAC
Credential ID 1198348
Credential Number 10.115681
Credential Type Registered Nurse
Business Address 92 Kaye Vue Dr Apt B
Hamden
CT 06514
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-12-20
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1199097 10.115570-TEMP Registered Nurse - Temporary 2013-12-17 2013-12-17 - 2014-04-15 INACTIVE

Office Location

Street Address 92 KAYE VUE DR APT B
City Hamden
State CT
Zip Code 06514

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Erica Weiss 4 Partridge Crossing, Hamden, CT 06514 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kimberly S Traverso 50 Building Brook Road, Hamden, CT 06514 Professional Counselor 2020-08-01 ~ 2021-07-31
Kevin A Guess 3rd Street, Hamden, CT 06514 Public Weigher 2020-06-12 ~ 2021-06-30
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Competitor

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City Hamden
Zip Code 06514
License Type Registered Nurse
License Type + County Registered Nurse + Hamden

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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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