KRISTA L WAGNER (Credential# 765985) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2022. The license status is ACTIVE.
KRISTA L WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001750. The credential type is nursing home administrator. The effective date is July 1, 2020. The expiration date is June 30, 2022. The business address is 664 Spindle Hill Road, Wolcott, CT 06716. The current status is active.
| Licensee Name | KRISTA L WAGNER |
| Credential ID | 765985 |
| Credential Number | 36.001750 |
| Credential Type | Nursing Home Administrator |
| Business Address |
664 Spindle Hill Road Wolcott CT 06716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-08-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 775293 | 48.002459 | Occupational Therapist | 2000-08-01 | 2019-08-01 - 2021-07-31 | ACTIVE |
| Street Address | 664 Spindle Hill Road |
| City | Wolcott |
| State | CT |
| Zip Code | 06716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | Wolcott |
| Zip Code | 06716 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + Wolcott |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Ray Cyr | 18 Elizabeth Rd, Bolton, CT 06043 | Nursing Home Administrator | 2020-03-01 ~ 2022-02-28 |
| Arunava De | 350 Cobbler Ln, Southbury, CT 06488-4641 | Nursing Home Administrator | ~ |
| Kimberly D Brown | Apt 303, Groton, CT 06340 | Nursing Home Administrator | ~ |
| Katie M Lee | 11 Englewood Dr, Manchester, CT 06042-2738 | Nursing Home Administrator | ~ |
| Dov Moskowitz | 976 South End, Woodmere, NY 11598 | Nursing Home Administrator | ~ |
| Gabriel N Tanwani | Po Box 631, Randallstown, MD 21133-0631 | Nursing Home Administrator | ~ |
| Janice S Bariffe | 17 May Ln, Bloomfield, CT 06002-3321 | Nursing Home Administrator | ~ |
| Richard F Ide | P.o. Box 73, Ashford, CT 06278 | Nursing Home Administrator | 2004-06-07 ~ 2006-04-30 |
Please comment or provide details below to improve the information on KRISTA L WAGNER.
| 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).