KATE E WIELGUS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001900

License Status

NOT RENEWED

Business

First Name

KATE

Middle

Last Name

WIELGUS

Business Name

KATE E WIELGUS

Original Issue Date

02/19/2004

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005