JEFFREY A WAGNER MD (Credential# 544504) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JEFFREY A WAGNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023271. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 30 Davis Hill Rd, Weston, CT 06883. The current status is active.
| Licensee Name | JEFFREY A WAGNER MD |
| Credential ID | 544504 |
| Credential Number | 1.023271 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Davis Hill Rd Weston CT 06883 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1981-12-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153012 | CSP.0010560 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 30 DAVIS HILL RD |
| City | WESTON |
| State | CT |
| Zip Code | 06883 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cindy Wagner | 30 Davis Hill Rd, Weston, CT 06883 | Physical Therapist | 2010-05-01 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Karla L Wagner | 19 Wright St #2, Stamford, CT 06902 | Physician/surgeon | 1993-12-01 ~ 1994-10-31 |
| Katherine M Wagner-reiss Md | 434 Frogtown Rd, New Canaan, CT 06840-4411 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Elliott J Wagner | 200 E 66th St # C904, New York, NY 10065-9175 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lloyd D Wagner | 223 24th St, Santa Monica, CA 90402-2515 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jesse Wagner Md | 25 Lake Ridge Dr, Marlborough, CT 06447 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christian T Wagner | 48 Rivington Drive, West Boylston, MA 01583 | Physician/surgeon | 2000-04-20 ~ 2001-05-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
Please comment or provide details below to improve the information on JEFFREY A 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).