KIMBERLY ANN SMITH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001508

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

SMITH

Business Name

KIMBERLY ANN SMITH

Original Issue Date

05/04/2001

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

07/11/2016