TIMOTHY P BONACUM (Credential# 1284400) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
TIMOTHY P BONACUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.001030. The credential type is athletic trainer. The effective date is February 1, 2017. The expiration date is January 31, 2018. The business address is 466 La Grande Ave, Fanwood, NJ 07023-1706. The current status is inactive.
| Licensee Name | TIMOTHY P BONACUM |
| Credential ID | 1284400 |
| Credential Number | 54.001030 |
| Credential Type | Athletic Trainer |
| Business Address |
466 La Grande Ave Fanwood NJ 07023-1706 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-05-27 |
| Effective Date | 2017-02-01 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2018-05-06 |
| Street Address | 466 LA GRANDE AVE |
| City | FANWOOD |
| State | NJ |
| Zip Code | 07023-1706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan Cohen | 206 South Ave, Fanwood, NJ 07023 | Tax Preparer/facilitator Permit | 2020-03-10 ~ 2022-03-31 |
| Karen M Zikas | 88 Hunter Avenue, Fanwood, NJ 07023 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| David Matthew Mitrisin | 175 Helen Street, Fanwood, NJ 07023 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
| Rizwan Ahmad | 87 North Glenwood Rd, Fanwood, NJ 07023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerald Morris | 357 Terrill Rd, Fanwood, NJ 07023 | Real Estate Salesperson | 2002-06-03 ~ 2003-05-31 |
| Carmin J Devito | 40 Beech Ave, Fanwood, NJ 07023 | Professional Engineer | 1993-05-06 ~ 1994-01-31 |
| Nancy G Koederitz | 224 Belvidere Avenue, Fanwood, NJ 07023 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
| Susan J Walsdorf | 99 Madison Avenue, Fanwood, NJ 07023 | Licensed Practical Nurse | 2008-02-07 ~ 2008-08-31 |
| Vandana Agrawal · Goyal | 130 Belvidere Avenue, Fanwood, NJ 07023 | Licensed Practical Nurse | 1998-08-25 ~ 1999-10-31 |
| John Swindlehurst | 70 Willoughby Rd, Fanwood, NJ 07023 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
| Find all Licenses in zip 07023 | |||
| City | FANWOOD |
| Zip Code | 07023 |
| License Type | Athletic Trainer |
| License Type + County | Athletic Trainer + FANWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy M Lampron | 4 Sandpiper Ln, New Milford, CT 06776-3656 | Athletic Trainer | 2020-01-01 ~ 2020-12-31 |
| Timothy E Calder | 76 Ratlum Rd, Barkhamsted, CT 06063-1814 | Athletic Trainer | 2019-11-01 ~ 2020-10-31 |
| Timothy P. Mancuso | 86 State Route 37 Apt 3, New Fairfield, CT 06812-5041 | Athletic Trainer | 2013-06-01 ~ 2014-05-31 |
| Timothy M White | 5 Sunnyside Avenue, Hamden, CT 06518 | Athletic Trainer | 2009-09-01 ~ 2010-08-31 |
| Timothy D Godfrey | 23-09 Cambridge Rd, Fair Lawn, NJ 07410-2943 | Athletic Trainer | 2016-09-01 ~ 2017-08-31 |
| Timothy J Mcarthur | 314 Village Green Blvd, Ann Arbor, MI 48105 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
| Timothy E Speicher | Sacred Heart University, Fairfield, CT 06825 | Athletic Trainer | 2009-12-01 ~ 2010-11-30 |
| Julie R Hunnum | CT | Athletic Trainer | ~ |
| John L. Pryor | 147 Fox Trl, Coventry, CT 06238-2210 | Athletic Trainer | 2014-04-01 ~ 2015-03-31 |
| Matthew G Hunter | Po Box 365, Milford, CT 06460-0365 | Athletic Trainer | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on TIMOTHY P BONACUM.
| 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).