ANDREA R FORTUNATI (Credential# 1257985) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
ANDREA R FORTUNATI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.001012. The credential type is athletic trainer. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 5980 Route 113, Thetford Center, VT 05075-9007. The current status is inactive.
Licensee Name | ANDREA R FORTUNATI |
Credential ID | 1257985 |
Credential Number | 54.001012 |
Credential Type | Athletic Trainer |
Business Address |
5980 Route 113 Thetford Center VT 05075-9007 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-12-09 |
Effective Date | 2016-10-01 |
Expiration Date | 2017-09-30 |
Refresh Date | 2018-01-03 |
Street Address | 5980 ROUTE 113 |
City | THETFORD CENTER |
State | VT |
Zip Code | 05075-9007 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gregory W Froehlich | 725 Pero Hill Road, Thetford Center, VT 05075 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Renee B Gaffney | 91 Patsy Lane, Thetford Center, VT 05075 | Registered Nurse | 2010-08-01 ~ 2011-07-31 |
Elizabeth C Hauger | 5366 Route 113, Thetford Center, VT 05075 | Registered Nurse | 2010-01-01 ~ 2010-12-31 |
Jodi L Beebe | 7 Thoureau Way, Thetford Center, VT 05075 | Registered Nurse | 2003-08-07 ~ 2004-09-30 |
Kathleen Waine | 460 Colby Road North, Thetford Centre, VT 05075 | Registered Nurse | 2004-10-18 ~ 2005-07-31 |
Denise M Hickey | 725 Pero Hill Road, Thetford Center, VT 05075 | Physician/surgeon | 1999-04-14 ~ 2000-05-31 |
Suzette J Barbour | 174 Five Corners Rd, Thetford Ctr, VT 05075-8907 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
City | THETFORD CENTER |
Zip Code | 05075 |
License Type | Athletic Trainer |
License Type + County | Athletic Trainer + THETFORD CENTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea S Harmon | 76 West Walk, West Haven, CT 06516-5902 | Athletic Trainer | 2019-11-01 ~ 2020-10-31 |
Surh Luchtel Vionier Fortunati Vineyard Oak Knoll | Ct Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-12-17 ~ 2016-12-16 |
Julie R Hunnum | CT | Athletic Trainer | ~ |
Megan Nye | 162 Homestead St., Manchester, CT 06042-2338 | Athletic Trainer | 2019-11-01 ~ 2020-10-31 |
Kimberly A Pearce | 35 Fox Dr, Seymour, CT 06483-2003 | Athletic Trainer | 2020-03-01 ~ 2021-02-28 |
Sarah Gustus | 5 Fern Rd, Andover, MA 01810-6210 | Athletic Trainer | ~ |
Eric M Peterson | 114 Wakelee Ave, Stratford, CT 06614-3532 | Athletic Trainer | ~ |
Emma Foss | 8b Red Oak Way, Boscawen, NH 03303-1158 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
Amy K Schneider | 119 Milwaukee Ave, Bethel, CT 06801-2225 | Athletic Trainer | 2019-07-01 ~ 2020-06-30 |
Madison K Macaruso | 191 Howard Ave, Hope, RI 02831-1344 | Athletic Trainer | ~ |
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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).