Andrea R Fortunati Athletic Trainer
5980 Route 113, Thetford Center, VT 050759007


Andrea R Fortunati is licensed in the eLicensing system of Connecticut. The license credential ID is 1257985. The license type is Athletic Trainer. The license status is ACTIVE. The address is 5980 Route 113, Thetford Center, VT 050759007. The zip code is 05075.


Andrea R Fortunati · 5980 Route 113, Thetford Center, VT 050759007

Credential ID 1257985
Name ANDREA R FORTUNATI
Type INDIVIDUAL
Address 5980 ROUTE 113
THETFORD CENTER, VT 050759007
License Credential Athletic Trainer
Full Credential Code 54.001012
Credential Type 54
Credential Number 1012
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 12/09/2014
Effective Date 10/01/2015
Expiration Date 09/30/2016
Record Refresh Date 09/30/201

Zip 05075 · Connecticut Business

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