TIMOTHY P. MANCUSO
Athletic Trainer


Address: 86 State Route 37 Apt 3, New Fairfield, CT 06812-5041

TIMOTHY P. MANCUSO (Credential# 1117619) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2013. The license expiration date date is May 31, 2014. The license status is INACTIVE.

Business Overview

TIMOTHY P. MANCUSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000831. The credential type is athletic trainer. The effective date is June 1, 2013. The expiration date is May 31, 2014. The business address is 86 State Route 37 Apt 3, New Fairfield, CT 06812-5041. The current status is inactive.

Basic Information

Licensee Name TIMOTHY P. MANCUSO
Credential ID 1117619
Credential Number 54.000831
Credential Type Athletic Trainer
Business Address 86 State Route 37 Apt 3
New Fairfield
CT 06812-5041
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-24
Effective Date 2013-06-01
Expiration Date 2014-05-31
Refresh Date 2014-12-11

Office Location

Street Address 86 STATE ROUTE 37 APT 3
City NEW FAIRFIELD
State CT
Zip Code 06812-5041

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Competitor

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City NEW FAIRFIELD
Zip Code 06812
License Type Athletic Trainer
License Type + County Athletic Trainer + NEW FAIRFIELD

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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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