JEAN M KUTZKE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000317

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

KUTZKE

Business Name

JEAN M KUTZKE

Original Issue Date

03/06/1990

Effective Date

06/07/2004

Expiration Date

05/31/2006

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/17/2006