PATRICIA ANN MOEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001286

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

ANN

Last Name

MOEN

Business Name

PATRICIA ANN MOEN

Original Issue Date

09/22/1999

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

03/07/2016