KIM M BECKER Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000107

License Status

INACTIVE

Business

First Name

KIM M

Last Name

BECKER

Business Name

KIM M BECKER

Original Issue Date

07/11/1986

Effective Date

06/21/2000

Expiration Date

05/31/2000

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005