ALLISON C HICKENBOTH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001714

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

HICKENBOTH

Business Name

ALLISON C HICKENBOTH

Original Issue Date

10/08/2002

Effective Date

05/07/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/17/2006