CONNIE L MARTIN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000581

License Status

NOT RENEWED

Business

First Name

CONNIE L

Last Name

MARTIN

Business Name

CONNIE L MARTIN

Original Issue Date

08/25/1993

Expiration Date

08/25/1995

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005