HEATHER N GOSS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001784

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

GOSS

Business Name

HEATHER N GOSS

Original Issue Date

05/07/2003

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

2003002692

Action

Fine

Discipline Start Date

05/05/2003

Discipline Reason

Practiced without a license for six months.