INGRID M GRUTZMACHER Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000501

License Status

INACTIVE

Business

First Name

INGRID M

Last Name

GRUTZMACHER

Business Name

INGRID M GRUTZMACHER

Original Issue Date

09/25/1992

Effective Date

04/30/2004

Expiration Date

05/31/2006

City

ACWORTH

State

Zip

30101

County

GEORGIA

Ever Disciplined

LastModifiedDate

03/27/2006