MARK ARTHUR NIENHUIS Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001143

License Status

INACTIVE

Business

First Name

MARK

Middle

ARTHUR

Last Name

NIENHUIS

Business Name

MARK ARTHUR NIENHUIS

Original Issue Date

07/16/1998

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005