JEFFREY WILLIAM PETERSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001426

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

WILLIAM

Last Name

PETERSEN

Business Name

JEFFREY WILLIAM PETERSEN

Original Issue Date

10/10/2000

Effective Date

05/29/2020

Expiration Date

05/31/2022

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/27/2022