LISA VERSEPUT PITNEY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000726

License Status

INACTIVE

Business

First Name

LISA

Middle

VERSEPUT

Last Name

PITNEY

Business Name

LISA VERSEPUT PITNEY

Original Issue Date

04/26/1995

Effective Date

05/10/2002

Expiration Date

05/31/2002

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/11/2005