THERESIA C LANG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000096

License Status

NOT RENEWED

Business

First Name

THERESIA C

Last Name

LANG

Business Name

THERESIA C LANG

Original Issue Date

06/30/1986

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005