LAURA REBECCA BOOTH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000607

License Status

NOT RENEWED

Business

First Name

LAURA REBECCA

Last Name

BOOTH

Business Name

LAURA REBECCA BOOTH

Original Issue Date

12/11/1993

Expiration Date

12/11/1995

City

ELWOOD

State

Zip

60421

County

WILL

Ever Disciplined

LastModifiedDate

09/04/2005