KATHLEEN SHANNON WAGGONER
Registered Nurse


Address: 114 Walnut St, Willimantic, CT 06226-2307

KATHLEEN SHANNON WAGGONER (Credential# 1508250) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.

Business Overview

KATHLEEN SHANNON WAGGONER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.151561. The credential type is registered nurse. The effective date is June 29, 2018. The expiration date is December 31, 2018. The business address is 114 Walnut St, Willimantic, CT 06226-2307. The current status is inactive.

Basic Information

Licensee Name KATHLEEN SHANNON WAGGONER
Credential ID 1508250
Credential Number 10.151561
Credential Type Registered Nurse
Business Address 114 Walnut St
Willimantic
CT 06226-2307
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-06-29
Effective Date 2018-06-29
Expiration Date 2018-12-31
Refresh Date 2019-04-05

Office Location

Street Address 114 WALNUT ST
City WILLIMANTIC
State CT
Zip Code 06226-2307

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Calvin Gordon 98 Walnut St # C, Willimantic, CT 06226-2307 Lead Abatement Supervisor 2014-12-01 ~ 2015-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Vasiliko Liapes · Mamas Pizza 277 Ash Street, Willimantic, CT 06226 Restaurant Wine & Beer 2020-04-28 ~ 2021-08-27
Janet G Ragno 46 Fairview Street, Willimantic, CT 06226 Nursing Home Administrator 2020-08-01 ~ 2022-07-31
Tim Devivo 1590 W Main St, Willimantic, CT 06226 Public Weigher 2020-07-01 ~ 2021-06-30
Antonio Manuel Santos 661 Windham Rd, Windham, CT 06226 Tattoo Technician 2020-06-25 ~ 2022-06-30
Rent A Center East Inc · Rent A Center #05068 1329 Main Street, Willimantic, CT 06226 Sterilization Permit for Bedding & Upholstered Furniture 2020-06-25 ~ 2021-04-30
Shaunda Baker 90 South Street, Willimantic, CT 06226 Medication Administration Certification 2020-07-12 ~ 2022-07-11
Willimantic Shell 1563 West Main St, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth A Bailey 152 Main St, Willimantic, CT 06226 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Royal Buffet 1228 Main St, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Builders Concrete East LLC · Windham Sand & Stone Inc 75 N Windham Rd, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06226

Competitor

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City WILLIMANTIC
Zip Code 06226
License Type Registered Nurse
License Type + County Registered Nurse + WILLIMANTIC

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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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