DEBORAH L FULLER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000408

License Status

NOT RENEWED

Business

First Name

DEBORAH L

Last Name

FULLER

Business Name

DEBORAH L FULLER

Original Issue Date

05/30/1991

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005