SAMANTHA L SHIRLEY
Athletic Trainer


Address: 60 Lower Ln, Berlin, CT 06037-2238

SAMANTHA L SHIRLEY (Credential# 1431728) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is October 25, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.

Business Overview

SAMANTHA L SHIRLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.001301. The credential type is athletic trainer. The effective date is October 25, 2017. The expiration date is May 31, 2018. The business address is 60 Lower Ln, Berlin, CT 06037-2238. The current status is inactive.

Basic Information

Licensee Name SAMANTHA L SHIRLEY
Credential ID 1431728
Credential Number 54.001301
Credential Type Athletic Trainer
Business Address 60 Lower Ln
Berlin
CT 06037-2238
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-10-25
Effective Date 2017-10-25
Expiration Date 2018-05-31
Refresh Date 2018-09-03

Office Location

Street Address 60 LOWER LN
City BERLIN
State CT
Zip Code 06037-2238

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Competitor

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City BERLIN
Zip Code 06037
License Type Athletic Trainer
License Type + County Athletic Trainer + BERLIN

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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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