TIMOTHY FRANCIS FEDORSKI Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000942

License Status

INACTIVE

Business

First Name

TIMOTHY FRANCIS

Last Name

FEDORSKI

Business Name

TIMOTHY FRANCIS FEDORSKI

Original Issue Date

11/19/1996

Effective Date

06/18/2002

Expiration Date

05/31/2002

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005