ERIN MARIE MOORE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001690

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

MARIE

Last Name

MOORE

Business Name

ERIN MARIE MOORE

Original Issue Date

09/13/2002

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005