STEPHANIE GAIL BIBERSTEIN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000775

License Status

NOT RENEWED

Business

First Name

STEPHANIE GAIL

Last Name

BIBERSTEIN

Business Name

STEPHANIE GAIL BIBERSTEIN

Original Issue Date

12/11/1995

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005