ANNETTE V WAGNER MD (Credential# 433482) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNETTE V WAGNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038977. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 7 Niagara Pier, Erie, PA 16507. The current status is active.
| Licensee Name | ANNETTE V WAGNER MD |
| Credential ID | 433482 |
| Credential Number | CSP.0038977 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Niagara Pier Erie PA 16507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-04-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561730 | 1.044148 | Physician/Surgeon | 2006-03-10 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 7 Niagara Pier |
| City | Erie |
| State | PA |
| Zip Code | 16507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dave Snyder | 1024 West 4th Street, Erie, PA 16507 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Sharii J Domin | 425 German St, Erie, PA 16507 | Registered Nurse | 2004-12-14 ~ 2005-12-31 |
| Joanne J Berkey · Jarmolowski | 10 East 4th St, Erie, PA 16507 | Radiographer | 2004-05-14 ~ 2005-06-30 |
| Ann Eilan | 726 West 2nd St, Erie, PA 16507 | Registered Nurse | 1995-01-13 ~ 1996-01-31 |
| Bryce Ryan Henning | 320 E 3rd St, Erie, PA 16507-1604 | Registered Nurse | 2018-11-27 ~ 2019-08-31 |
| Dr Gertrude A Barber Foundation Inc | 100 Barber Pl, Erie, PA 16507-1863 | Public Charity | 2019-06-10 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bella Grigorian | 3124 Rustic Ln, Erie, PA 16506-1636 | Emergency Medical Technician | 2020-06-23 ~ 2022-03-31 |
| Chiquita L Jefferson | 4654 Summerland Trail, Erie, PA 16506 | Licensed Practical Nurse | 2020-06-21 ~ 2016-07-31 |
| Pi Services LLC | 2010 Filmore Ave, Erie, PA 16506-2939 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Jtm Foods LLC | 2126 East 33rd Street, Erie, PA 16510 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kellie Schmitt | 5171 Wolf Run Dr, Erie, PA 16505 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
| Ivan C Loker | 4509 Leary Rd, Erie, PA 16511-2229 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dataverify National Property & Valuation Services Inc | 3939 W Ridge Rd # B12, Erie, PA 16506-1879 | Real Estate Appraisal Management Company | 2019-01-01 ~ 2020-03-31 |
| Lynne Birkmeyer Md | 5127 Walnut Ridge Dr., Erie, PA 16506 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Weilin Liu | 3849 Canterbury Dr, Erie, PA 16506-5323 | Controlled Substance Registration for Practitioner | 2020-03-30 ~ 2021-02-28 |
| Humane League (the) | 1001 State St Ste 1400, Erie, PA 16501-1834 | Public Charity | 2020-03-16 ~ 2020-11-30 |
| Find all Licenses in Erie | |||
| City | Erie |
| Zip Code | 16507 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Erie |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian K Wagner | 11 South Rd, Farmington, CT 06032-2483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica L Wagner | 227 Church St Apt 7c, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Krystn R Wagner | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas J Wagner | 540 Route 148, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James L. Wagner | 1608 Riverview Rd, Chattanooga, TN 37405-3131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter John Wagner | 162 Dawley Dr., Stonington, CT 06378 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Cliff Wagner Md | 161 Talcott Notch Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph R Wagner Md | 85 Seymour St Suite 416, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew P Wagner | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Todd L Wagner Do | 40 Middlefield St, Groton Long Pt, CT 06340 | Controlled Substance Registration for Practitioner | ~ 2001-02-28 |
Please comment or provide details below to improve the information on ANNETTE V WAGNER MD.
| 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).