AUDREY JO HANSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001752

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

HANSEN

Business Name

AUDREY JO HANSEN

Original Issue Date

02/21/2003

Effective Date

04/27/2010

Expiration Date

05/31/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/10/2012