LAURA E KACZMAREK Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000495

License Status

INACTIVE

Business

First Name

LAURA E

Last Name

KACZMAREK

Business Name

LAURA E KACZMAREK

Original Issue Date

09/25/1992

Effective Date

03/27/2002

Expiration Date

05/31/2002

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005