ELLIOTT J WAGNER (Credential# 561735) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELLIOTT J WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044153. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 200 E 66th St # C904, New York, NY 10065-9175. The current status is active.
| Licensee Name | ELLIOTT J WAGNER |
| Credential ID | 561735 |
| Credential Number | 1.044153 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 E 66th St # C904 New York NY 10065-9175 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-03-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-03 |
| Street Address | 200 E 66TH ST # C904 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-9175 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erik Jonathan Blutinger | 166 E 63rd St, New York, NY 10065 | Physician/surgeon | ~ |
| Crestview Partners Iv, Lp | 590 Madison Avenue, New York, NY 10065 | Securities - Exemptions | 2020-06-17 ~ |
| Abigail L Peck | 406 E 63rd Street, New York, NY 10065 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cevat A Ozan | 26 East 64th Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Berson | 245 East 63rd Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| Naomi Alper | 1161 York Avenue, New York, NY 10065 | Licensed Clinical Social Worker | ~ |
| Redbird Series 2019, Lp | 667 Madison Ave, Fl 16, New York, NY 10065 | Securities - Exemptions | 2020-06-01 ~ |
| Andrew C Shih Md | 200 E 62nd St Apt 9b, New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Inga Katharina Mewes Blom | 210 E64th St., New York, NY 10065 | Psychologist | ~ |
| Flavio Gaudio | 525 E. 68th St., New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10065 | |||
| City | NEW YORK |
| Zip Code | 10065 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| 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 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
| Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Christian T Wagner | 48 Rivington Drive, West Boylston, MA 01583 | Physician/surgeon | 2000-04-20 ~ 2001-05-31 |
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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).