HOLLY A WALICEK Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000947

License Status

INACTIVE

Business

First Name

HOLLY A

Last Name

WALICEK

Business Name

HOLLY A WALICEK

Original Issue Date

11/21/1996

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

CAPE CORAL

State

Zip

33904

County

DEKALB

Ever Disciplined

LastModifiedDate

03/01/2018