LISA E WAGNER
Registered Nurse


Address: 95 Horatio Street, New York, NY 10014

LISA E WAGNER (Credential# 655283) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license expiration date date is July 31, 1999. The license status is INACTIVE.

Business Overview

LISA E WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R55541. The credential type is registered nurse. The expiration date is July 31, 1999. The business address is 95 Horatio Street, New York, NY 10014. The current status is inactive.

Basic Information

Licensee Name LISA E WAGNER
Credential ID 655283
Credential Number 10.R55541
Credential Type Registered Nurse
Business Address 95 Horatio Street
New York
NY 10014
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-02
Expiration Date 1999-07-31
Refresh Date 2009-07-08

Office Location

Street Address 95 HORATIO STREET
City NEW YORK
State NY
Zip Code 10014

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Charles H Henkels 815 Greenwich St 4a, New York, NY 10014 Architect 2020-08-01 ~ 2021-07-31
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Timothy Tan 135 Perry St Apt 9, New York, NY 10014 Physician/surgeon 2020-07-01 ~ 2021-06-30
Lucy Lehrer Two Charlton Street, New York, NY 10014 Licensed Clinical Social Worker ~
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Competitor

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City NEW YORK
Zip Code 10014
License Type Registered Nurse
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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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