THOMAS F MOLLSEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000486

License Status

INACTIVE

Business

First Name

THOMAS F

Last Name

MOLLSEN

Business Name

THOMAS F MOLLSEN

Original Issue Date

06/22/1992

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012