MATTHEW L COSTA
Athletic Trainer


Address: 77 Locust Avenue, Staten Island, NY 10306

MATTHEW L COSTA (Credential# 777972) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is April 11, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

MATTHEW L COSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000173. The credential type is athletic trainer. The effective date is April 11, 2007. The expiration date is May 31, 2008. The business address is 77 Locust Avenue, Staten Island, NY 10306. The current status is inactive.

Basic Information

Licensee Name MATTHEW L COSTA
Credential ID 777972
Credential Number 54.000173
Credential Type Athletic Trainer
Business Address 77 Locust Avenue
Staten Island
NY 10306
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-10-23
Effective Date 2007-04-11
Expiration Date 2008-05-31
Refresh Date 2009-07-08

Office Location

Street Address 77 Locust Avenue
City Staten Island
State NY
Zip Code 10306

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Elaine M Ricca 118 Jacques Avenue, Staten Island, NY 10306 Notary Public Appointment 2013-12-01 ~ 2018-11-30
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Competitor

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City Staten Island
Zip Code 10306
License Type Athletic Trainer
License Type + County Athletic Trainer + Staten Island

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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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