MATTHEW ROBERT MUSSALLEM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001880

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

MUSSALLEM

Business Name

MATTHEW ROBERT MUSSALLEM

Original Issue Date

12/18/2003

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

PALINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

07/11/2008