GARDNER C COUGHLEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000828

License Status

NOT RENEWED

Business

First Name

GARDNER C

Last Name

COUGHLEN

Business Name

GARDNER C COUGHLEN

Original Issue Date

02/22/1996

Effective Date

06/03/2004

Expiration Date

05/31/2006

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

07/17/2006