AUGUSTA L STEFANICH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001128

License Status

NOT RENEWED

Business

First Name

AUGUSTA

Middle

Last Name

STEFANICH

Business Name

AUGUSTA L STEFANICH

Original Issue Date

06/02/1998

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

09/11/2005