JACQUELINE J SMITH Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001776

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

SMITH

Business Name

JACQUELINE J SMITH

Original Issue Date

04/08/2003

Effective Date

05/23/2014

Expiration Date

05/31/2016

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

03/07/2016