AMANDA E GACEK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001949

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GACEK

Business Name

AMANDA E GACEK

Original Issue Date

07/08/2004

Effective Date

05/25/2010

Expiration Date

05/31/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012