KATHLEEN E CHURCH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000914

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

CHURCH

Business Name

KATHLEEN E CHURCH

Original Issue Date

10/15/1996

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005