MELISSA C OSBORN CARLSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001073

License Status

NOT RENEWED

Business

First Name

MELISSA C

Last Name

OSBORN CARLSON

Business Name

MELISSA C OSBORN CARLSON

Original Issue Date

12/01/1997

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005