REGINA O. KOSTYUN
Athletic Trainer


Address: 399 Farmington Ave Ste 300, Farmington, CT 06032-1979

REGINA O. KOSTYUN (Credential# 778358) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.

Business Overview

REGINA O. KOSTYUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000559. The credential type is athletic trainer. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 399 Farmington Ave Ste 300, Farmington, CT 06032-1979. The current status is active.

Basic Information

Licensee Name REGINA O. KOSTYUN
Credential ID 778358
Credential Number 54.000559
Credential Type Athletic Trainer
Business Address 399 Farmington Ave Ste 300
Farmington
CT 06032-1979
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-01-07
Effective Date 2019-07-01
Expiration Date 2020-06-30
Refresh Date 2019-07-01

Office Location

Street Address 399 FARMINGTON AVE STE 300
City FARMINGTON
State CT
Zip Code 06032-1979

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
James Lee Pace 399 Farmington Ave Ste 300, Farmington, CT 06032-1979 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Athletic Trainer
License Type + County Athletic Trainer + FARMINGTON

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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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