ROBERT L PETERSEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000069

License Status

INACTIVE

Business

First Name

ROBERT L

Last Name

PETERSEN

Business Name

ROBERT L PETERSEN

Original Issue Date

06/12/1986

Expiration Date

06/12/1990

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/04/2005