DALE S DOUGLAS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000145

License Status

NOT RENEWED

Business

First Name

DALE S

Last Name

DOUGLAS

Business Name

DALE S DOUGLAS

Original Issue Date

09/05/1986

Expiration Date

05/31/1996

City

ARLINGTON HTS

State

Zip

60004

Ever Disciplined

LastModifiedDate

09/04/2005