License holder summary

STACY PROVENCHER is a Athletic Trainer licensed to practice in Connecticut. The address on file for STACY PROVENCHER is 11 LAUREL LN, Hartford, AVON, CT, 06001-3313. This licensed professional license is current. The license was granted 09/18/2006 and expired on 09/30/2014.

Connecticut

Department of Consumer Protection

STACY PROVENCHER
Athletic Trainer
License number
75
Date granted
09/18/2006
Date expires
09/30/2014
Class
Athletic Trainer
Status
Active
Address
11 LAUREL LN, Hartford, AVON, CT, 06001-3313
ctlicensing.org
ID 496922
LAST UPDATED 2024-03-22 13:24:51 UTC

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