REBECCA A PETERSEN
Athletic Trainer


Address: 1 Blachley Rd Ste 2, Stamford, CT 06902-0003

REBECCA A PETERSEN (Credential# 1189451) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

REBECCA A PETERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000919. The credential type is athletic trainer. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 1 Blachley Rd Ste 2, Stamford, CT 06902-0003. The current status is active.

Basic Information

Licensee Name REBECCA A PETERSEN
Credential ID 1189451
Credential Number 54.000919
Credential Type Athletic Trainer
Business Address 1 Blachley Rd Ste 2
Stamford
CT 06902-0003
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-11-13
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-02

Office Location

Street Address 1 BLACHLEY RD STE 2
City STAMFORD
State CT
Zip Code 06902-0003

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type Athletic Trainer
License Type + County Athletic Trainer + STAMFORD

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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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