NICHOLAS D CHUPKA
Athletic Trainer


Address: 225 South St, Douglas, MA 01516-2539

NICHOLAS D CHUPKA (Credential# 1154577) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

NICHOLAS D CHUPKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000862. The credential type is athletic trainer. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 225 South St, Douglas, MA 01516-2539. The current status is inactive.

Basic Information

Licensee Name NICHOLAS D CHUPKA
Credential ID 1154577
Credential Number 54.000862
Credential Type Athletic Trainer
Business Address 225 South St
Douglas
MA 01516-2539
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-03-21
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Office Location

Street Address 225 SOUTH ST
City DOUGLAS
State MA
Zip Code 01516-2539

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Competitor

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City DOUGLAS
Zip Code 01516
License Type Athletic Trainer
License Type + County Athletic Trainer + DOUGLAS

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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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