POLLYANA KATHLEEN JOHNSON Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001392

License Status

INACTIVE

Business

First Name

POLLYANA

Middle

KATHLEEN

Last Name

JOHNSON

Business Name

POLLYANA KATHLEEN JOHNSON

Original Issue Date

08/30/2000

Effective Date

05/15/2002

Expiration Date

05/31/2002

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/11/2005