KRISTIN JEAN RIVA Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001615

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

JEAN

Last Name

RIVA

Business Name

KRISTIN JEAN RIVA

Original Issue Date

03/22/2002

Effective Date

05/19/2004

Expiration Date

05/31/2004

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005