NICOLE MARIE JUSHKA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001437

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

JUSHKA

Business Name

NICOLE MARIE JUSHKA

Original Issue Date

10/25/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005