SUSAN MARIE DITZLER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000698

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

DITZLER

Business Name

SUSAN MARIE DITZLER

Original Issue Date

12/22/1994

Expiration Date

05/31/1996

City

POLO

State

Zip

61064

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005