SUSAN LYNN WAPLE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000779

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

WAPLE

Business Name

SUSAN LYNN WAPLE

Original Issue Date

12/11/1995

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005