SHARON ELIZABETH BALICKI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001511

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

ELIZABETH

Last Name

BALICKI

Business Name

SHARON ELIZABETH BALICKI

Original Issue Date

05/24/2001

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018