LAURA VAKARE KONIECZNY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001198

License Status

INACTIVE

Business

First Name

LAURA

Middle

VAKARE

Last Name

KONIECZNY

Business Name

LAURA VAKARE KONIECZNY

Original Issue Date

12/10/1998

Effective Date

04/29/2002

Expiration Date

05/31/2002

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005