STACY MARY OLCZYK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001619

License Status

NOT RENEWED

Business

First Name

STACY

Middle

MARY

Last Name

OLCZYK

Business Name

STACY MARY OLCZYK

Original Issue Date

03/22/2002

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005