CHRISTIAN T WAGNER (Credential# 555705) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
CHRISTIAN T WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038115. The credential type is physician/surgeon. The effective date is April 20, 2000. The expiration date is May 31, 2001. The business address is 48 Rivington Drive, West Boylston, MA 01583. The current status is inactive.
| Licensee Name | CHRISTIAN T WAGNER |
| Credential ID | 555705 |
| Credential Number | 1.038115 |
| Credential Type | Physician/Surgeon |
| Business Address |
48 Rivington Drive West Boylston MA 01583 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-09-08 |
| Effective Date | 2000-04-20 |
| Expiration Date | 2001-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 48 Rivington Drive |
| City | West Boylston |
| State | MA |
| Zip Code | 01583 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veronica Gates | 178-6 Worcester St, W Boylston, MA 01583 | Respiratory Care Practitioner | 2019-01-01 ~ 2019-12-31 |
| Christopher P Stamas | 243 Woodland Street, West Boylston, MA 01583 | Non-water Supply Driller | 2020-05-01 ~ 2021-04-30 |
| Joanna Sherblom | 10 Pinewood Drive, West Boylston, MA 01583 | Notary Public Appointment | 2007-01-10 ~ 2012-01-31 |
| Gabriela Hyppolite | 92 N Main Street, West Boylston, MA 01583 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Lisa E Owanisian | 8 Stillwater Heights Drive, West Boylston, MA 01583 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Steven R. Durham | 472 Prospect Street, West Boylston, MA 01583 | Hoisting Equipment Operator | 2018-12-08 ~ 2020-12-07 |
| William F Cummings | 8 Fort Niagara Dr, West Boylston, MA 01583 | Crane Operator | 1984-10-01 ~ 1986-09-30 |
| John B Dipietro | 54 Campground Road, West Boylston, MA 01583 | Crane Operator | 1984-10-01 ~ 1986-09-30 |
| Corporate Environmental Advisors Inc | 127 Hartwell St Suite 2, West Boylston, MA 01583 | Demolition Contractor | 2014-07-01 ~ 2015-06-30 |
| Helen E Tashjian | 363 Prospect St, West Boylston, MA 01583 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Find all Licenses in zip 01583 | |||
| City | West Boylston |
| Zip Code | 01583 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Boylston |
| 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 |
| Elliott J Wagner | 200 E 66th St # C904, New York, NY 10065-9175 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jesse Wagner Md | 25 Lake Ridge Dr, Marlborough, CT 06447 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeffrey A Wagner Md | 30 Davis Hill Rd, Weston, CT 06883 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lloyd D Wagner | 223 24th St, Santa Monica, CA 90402-2515 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Katherine M Wagner-reiss Md | 434 Frogtown Rd, New Canaan, CT 06840-4411 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Christian H Dee Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
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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).