AMY A ELLSWORTH Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000642

License Status

INACTIVE

Business

First Name

AMY A

Last Name

ELLSWORTH

Business Name

AMY A ELLSWORTH

Original Issue Date

08/16/1994

Effective Date

04/20/2000

Expiration Date

05/31/2000

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005