KATHERINE E RYBAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001697

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

RYBAK

Business Name

KATHERINE E RYBAK

Original Issue Date

09/24/2002

Effective Date

06/22/2004

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/17/2006