STACY LYNN VITEK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001859

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

VITEK

Business Name

STACY LYNN VITEK

Original Issue Date

12/04/2003

Effective Date

04/29/2004

Expiration Date

05/31/2006

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/17/2006