LISA A HIMMELSPACH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001561

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

HIMMELSPACH

Business Name

LISA A HIMMELSPACH

Original Issue Date

10/18/2001

Effective Date

04/02/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/17/2006