DANIEL STEVEN LORENZ Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001634

License Status

INACTIVE

Business

First Name

DANIEL

Middle

STEVEN

Last Name

LORENZ

Business Name

DANIEL STEVEN LORENZ

Original Issue Date

04/18/2002

Effective Date

05/28/2004

Expiration Date

05/31/2004

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005