RANDY G PAGE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000102

License Status

INACTIVE

Business

First Name

RANDY G

Last Name

PAGE

Business Name

RANDY G PAGE

Original Issue Date

07/11/1986

Expiration Date

07/11/1990

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005