MELISSA J DORENCZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000887

License Status

NOT RENEWED

Business

First Name

MELISSA J

Last Name

DORENCZ

Business Name

MELISSA J DORENCZ

Original Issue Date

01/18/1997

Expiration Date

05/31/1998

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005