KRISTA L WAGONER (Credential# 1257752) 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.
KRISTA L WAGONER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.124567. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 3215 Fountain Ln N, Plymouth, MN 55447-1241. The current status is active.
| Licensee Name | KRISTA L WAGONER |
| Credential ID | 1257752 |
| Credential Number | 10.124567 |
| Credential Type | Registered Nurse |
| Business Address |
3215 Fountain Ln N Plymouth MN 55447-1241 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-04 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1257889 | 10.123746-TEMP | Registered Nurse - Temporary | 2014-12-08 | 2014-12-08 - 2015-04-06 | INACTIVE |
| Street Address | 3215 FOUNTAIN LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-1241 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walleye Opportunities Fund, Lp | 2800 Niagara Lane N., Minneapolis, MN 55447 | Securities - Exemptions | 2019-10-17 ~ |
| Carefusion 203, Inc. | 17400 Medina Road, Minneapolis, MN 55447 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-10-03 ~ |
| Harold D Lerner | 540 Orchid Lane N., Plymouth, MN 55447 | Architect | 2011-08-01 ~ 2012-07-31 |
| Catherine C Hall | 15290 18th Ave N #711, Plymouth, MN 55447 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Joan T Tobin | 2720 Holly Lane, Plymouth, MN 55447 | Registered Nurse | 1993-08-25 ~ 1994-05-31 |
| Dylan P Hall | 15290 18th Ave N #711, Plymouth, MN 55447 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Vicky M Richmond | 17925 34th Ave N, Minneapolis, MN 55447-1106 | Registered Nurse | 2015-04-01 ~ 2016-03-31 |
| Judith A Ogren | 18440 25th Ave N, Minneapolis, MN 55447-2014 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Martha Haugen Dixon | 15600 17th Ave N, Minneapolis, MN 55447-2498 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Melissa F Hall Pa | 15615 17th Ave N, Plymouth, MN 55447-2498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 55447 | |||
| City | PLYMOUTH |
| Zip Code | 55447 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PLYMOUTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa C Wagoner | 602 Azalea Dr, Hamstead, NC 28443 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| Emily R Wagoner | 494 Goddard Ln, Millers Creek, NC 28651-8744 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Lynne A Wagoner · Whittier | 77 Dino Road, Bristol, CT 06010-7823 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Laura B Wagoner | 1337 Mount Olive Church Rd, Taylorsville, NC 28681 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Krista K Kastner | 775 Rae Dr, Hartland, WI 53029-1151 | Registered Nurse | ~ |
| Krista Gambino · Kreations By Krista | 131 Old Ansonia Rd, Seymour, CT 06483 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
| Krista M Casey | 24 Bayberry Rd, Prospect, CT 06712 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Krista Howe | 156 Wepawang Dr, Milford, CT 06460 | Registered Nurse | 2007-01-08 ~ 2008-01-31 |
| Krista M Harding | 38 Mcforlane St, Newfoundland, A1C4I6 | Registered Nurse | 2002-08-16 ~ 2003-01-31 |
| Krista M Petrosky | 93 Willis Ave, Meriden, CT 06450-7742 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on KRISTA L WAGONER.
| 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).