DOUGLAS JOSEPH LUDOLPH Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000631

License Status

INACTIVE

Business

First Name

DOUGLAS JOSEPH

Last Name

LUDOLPH

Business Name

DOUGLAS JOSEPH LUDOLPH

Original Issue Date

05/09/1994

Expiration Date

05/31/1998

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/13/2005