BRUCE C TAIRA Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000094

License Status

INACTIVE

Business

First Name

BRUCE C

Last Name

TAIRA

Business Name

BRUCE C TAIRA

Original Issue Date

06/30/1986

Effective Date

04/30/2012

Expiration Date

05/31/2014

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/06/2014