PAUL MICHAEL ZIEMBA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001937

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

MICHAEL

Last Name

ZIEMBA

Business Name

PAUL MICHAEL ZIEMBA

Original Issue Date

05/19/2004

Effective Date

06/23/2020

Expiration Date

05/31/2022

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022