GINA M THIE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000623

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

THIE

Business Name

GINA M THIE

Original Issue Date

05/04/1994

Effective Date

05/21/2004

Expiration Date

05/31/2006

City

LITHIA

State

Zip

33547

Ever Disciplined

LastModifiedDate

03/27/2006