STACIA ELIZABETH HALE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001386

License Status

INACTIVE

Business

First Name

STACIA

Middle

ELIZABETH

Last Name

HALE

Business Name

STACIA ELIZABETH HALE

Original Issue Date

08/09/2000

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012