W LYNETTE THORNBURGH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000617

License Status

NOT RENEWED

Business

First Name

W LYNETTE

Last Name

THORNBURGH

Business Name

W LYNETTE THORNBURGH

Original Issue Date

02/02/1994

Expiration Date

02/02/1996

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/04/2005