KAROL KULESIA BENNETT Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001317

License Status

NOT RENEWED

Business

First Name

KAROL

Middle

KULESIA

Last Name

BENNETT

Business Name

KAROL KULESIA BENNETT

Original Issue Date

12/10/1999

Effective Date

05/28/2004

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

07/17/2006