STACY SMITH WAGNER (Credential# 995416) is licensed (Physical Therapist) 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.
STACY SMITH WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009052. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 382 Bartlett Dr, Madison, CT 06443-1785. The current status is active.
Licensee Name | STACY SMITH WAGNER |
Credential ID | 995416 |
Credential Number | 14.009052 |
Credential Type | Physical Therapist |
Business Address |
382 Bartlett Dr Madison CT 06443-1785 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-04-29 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-01 |
Street Address | 382 BARTLETT DR |
City | MADISON |
State | CT |
Zip Code | 06443-1785 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
G Wagner Construction Inc | 382 Bartlett Dr, Madison, CT 06443-1785 | New Home Construction Contractor | 2019-08-16 ~ 2021-09-30 |
Gregory Wagner | 382 Bartlett Dr, Madison, CT 06443-1785 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard D Tott | 362 Bartlett Dr, Madison, CT 06443-1785 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Kelsey O Cole | 344 Bartlett Dr, Madison, CT 06443-1785 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06443 |
City | MADISON |
Zip Code | 06443 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + MADISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacy-ann T Smith | 54 Sunnyfield Dr, Windsor, CT 06095-3258 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Claudia J Wagner | 21 Quarry Rd, Granby, CT 06035 | Physical Therapist | 2013-07-01 ~ 2014-06-30 |
Cindy Wagner | 30 Davis Hill Rd, Weston, CT 06883 | Physical Therapist | 2010-05-01 ~ 2011-04-30 |
Tina B Slesiona | 25 Wagner Road, Westerly, RI 02891 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Lisa M Wagner | 24 Putnam Street, Manchester, CT 06040 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
Marilyn C Wagner | 1807 Cornett Pl, Kissimmee, FL 34741-2005 | Physical Therapist Assistant | 2014-10-01 ~ 2015-09-30 |
Stacy M Oliveira | 27 Castle St, Springfield, MA 01118-2123 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Alyson Wagner | 3530 Henry Hudson Pkwy Apt Phb, Bronx, NY 10463-1306 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Stacy M Trice | 1130 E Lebanon Rd, Dover, DE 19901-5837 | Physical Therapist | 2009-09-01 ~ 2010-09-30 |
Stacy Marie Rivers | 100 Ben St, Bristol, CT 06010-3228 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
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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).