KELLYN R SIRACUSA (Credential# 1175906) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
KELLYN R SIRACUSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000886. The credential type is athletic trainer. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 66 Fieldstone Dr, Storrs Mansfield, CT 06268-2572. The current status is inactive.
| Licensee Name | KELLYN R SIRACUSA |
| Credential ID | 1175906 |
| Credential Number | 54.000886 |
| Credential Type | Athletic Trainer |
| Business Address |
66 Fieldstone Dr Storrs Mansfield CT 06268-2572 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-08-01 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| Street Address | 66 FIELDSTONE DR |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-2572 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael A Kilgannon | 60 Fieldstone Dr, Storrs, CT 06268-2572 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Russell J Dutta | 14 Fieldstone Dr, Storrs Mansfield, CT 06268-2572 | Engineer-in-training | 2012-10-16 ~ 2022-10-16 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | Athletic Trainer |
| License Type + County | Athletic Trainer + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siracusa Moving and Storage Co., Inc. | 250 Commerce Circle, New Britain, CT 06051 | Household Goods Carrier | 2020-01-01 ~ 2020-12-31 |
| Julie R Hunnum | CT | Athletic Trainer | ~ |
| Ian C Scruggs | 102 Stagecoach Rd, Woodbury, CT 06798-2727 | Athletic Trainer | 2012-04-01 ~ 2013-03-31 |
| David G Yeo | 201 Gates Rd., Lebanon, CT 06249 | Athletic Trainer | 2013-07-01 ~ 2014-06-30 |
| Riana Pryor | 147 Fox Trl, Coventry, CT 06238-2210 | Athletic Trainer | 2014-04-01 ~ 2015-03-31 |
| Geanie D Butts | 26 River Rd Apt B, Cos Cob, CT 06807-2716 | Athletic Trainer | 2012-08-01 ~ 2013-08-31 |
| Emma Foss | 8b Red Oak Way, Boscawen, NH 03303-1158 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
| Kristal Terpstra | 21 Deerfield Rd # B, Raymond, NH 03077-1416 | Athletic Trainer | ~ |
| Tyler B Gendron | 905 Mix Ave Apt 3b, Hamden, CT 06514-5149 | Athletic Trainer | 2018-10-01 ~ 2019-09-30 |
| Michelle M Angelo | Po Box 653, Assonet, MA 02702-0895 | Athletic Trainer | 2009-12-01 ~ 2010-11-30 |
Please comment or provide details below to improve the information on KELLYN R SIRACUSA.
| 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).