PATRICK GARY NELSON Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000509

License Status

INACTIVE

Business

First Name

PATRICK

Middle

GARY

Last Name

NELSON

Business Name

PATRICK GARY NELSON

Original Issue Date

09/25/1992

Effective Date

06/12/2000

Expiration Date

05/31/2000

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005