KIM M PODGORSKI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001387

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

PODGORSKI

Business Name

KIM M PODGORSKI

Original Issue Date

08/15/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005