ANDREA A HEIN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000621

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

HEIN

Business Name

ANDREA A HEIN

Original Issue Date

05/11/1994

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/11/2005