ALLISON L WAGGONER (Credential# 1501633) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ALLISON L WAGGONER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060561-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 36 Sutton Drive, Vernon Rockville, CT 06066. The current status is active.
| Licensee Name | ALLISON L WAGGONER |
| Credential ID | 1501633 |
| Credential Number | 1.060561-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
36 Sutton Drive Vernon Rockville CT 06066 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-04 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1286834 | CSP.0060353 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1489415 | 1.058621-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 36 Sutton Drive |
| City | VERNON ROCKVILLE |
| State | CT |
| Zip Code | 06066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | VERNON ROCKVILLE |
| Zip Code | 06066 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + VERNON ROCKVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel L Waggoner | 23 Clara Drive, Mystic, CT 06355 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David C Waggoner | 4322 General Bate Drive, Nashville, TN 37204 | Physician/surgeon | 2003-11-20 ~ 2004-11-30 |
| Allison M. Hanlon | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Allison J Harriott | 60 Lawn Ave Apt 38, Stamford, CT 06902-4140 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Allison H Whitaker | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Allison S Cowl Md | 79 Dugway Rd, Petersham, MA 01366-9725 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Allison Wasserman | 51 Oxford Road, Longmeadow, MA 01106 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Allison E Kerr Md | 7501 Surratts Rd, Clinton, MD 20735 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Alfred J Finn Jr | 55 Allison Drive, Torrington, CT 06790 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Allison Edwards | 4303 Taunton Dr, Beltsville, MD 20705-2861 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
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| 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).