IRENE ELOISE GAZ Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000918

License Status

INACTIVE

Business

First Name

IRENE ELOISE

Last Name

GAZ

Business Name

IRENE ELOISE GAZ

Original Issue Date

10/29/1996

Effective Date

05/15/2002

Expiration Date

05/31/2002

City

DESTIN

State

Zip

32541

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005