CAROLINE J KISSLAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000753

License Status

INACTIVE

Business

First Name

CAROLINE J

Last Name

KISSLAN

Business Name

CAROLINE J KISSLAN

Original Issue Date

08/14/1995

Effective Date

05/16/2002

Expiration Date

05/31/2002

City

HOLLYWOOD

State

Zip

33021

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005