KIMBERLY A LATHAM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000630

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

LATHAM

Business Name

KIMBERLY A LATHAM

Original Issue Date

05/09/1994

Expiration Date

05/31/1996

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/04/2005