TANYA N MUSKIEVICZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001875

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

MUSKIEVICZ

Business Name

TANYA N MUSKIEVICZ

Original Issue Date

12/18/2003

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012