COLLEEN H DOHERTY
Athletic Trainer


Address: 9 Proctor St, Ashburnham, MA 01430-1251

COLLEEN H DOHERTY (Credential# 1234593) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

COLLEEN H DOHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000970. The credential type is athletic trainer. The effective date is August 5, 2014. The expiration date is June 30, 2015. The business address is 9 Proctor St, Ashburnham, MA 01430-1251. The current status is inactive.

Basic Information

Licensee Name COLLEEN H DOHERTY
Credential ID 1234593
Credential Number 54.000970
Credential Type Athletic Trainer
Business Address 9 Proctor St
Ashburnham
MA 01430-1251
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-08-05
Effective Date 2014-08-05
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Office Location

Street Address 9 PROCTOR ST
City ASHBURNHAM
State MA
Zip Code 01430-1251

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Patricia D Lubelczyk 79 Ferin Road, Ashburnham, MA 01430 Registered Nurse 2011-09-01 ~ 2012-08-31
Marilyn G Burns 37 Noel Drive, Ashburnham, MA 01430 Dental Hygienist 1997-07-25 ~ 1998-09-30
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Competitor

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City ASHBURNHAM
Zip Code 01430
License Type Athletic Trainer
License Type + County Athletic Trainer + ASHBURNHAM

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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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