CLAUDIA J BLACKMAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000182

License Status

INACTIVE

Business

First Name

CLAUDIA J

Last Name

BLACKMAN

Business Name

CLAUDIA J BLACKMAN

Original Issue Date

05/04/1987

Effective Date

05/17/2000

Expiration Date

05/31/2000

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1998015919

Action

Fine

Discipline Start Date

04/21/1999

Discipline Reason

Failing to submit proff of required continuing education hours.