MARY ELIZABETH JACOBS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001439

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

JACOBS

Business Name

MARY ELIZABETH JACOBS

Original Issue Date

10/30/2000

Effective Date

05/07/2004

Expiration Date

05/31/2006

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/26/2007