DOREEN K BAKER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000326

License Status

NOT RENEWED

Business

First Name

DOREEN K

Last Name

BAKER

Business Name

DOREEN K BAKER

Original Issue Date

03/09/1990

Expiration Date

03/09/1992

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/04/2005