AMANDA LYNN ANDERSON Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001971

License Status

INACTIVE

Business

First Name

AMANDA

Middle

LYNN

Last Name

ANDERSON

Business Name

AMANDA LYNN ANDERSON

Original Issue Date

08/31/2004

Effective Date

09/17/2020

Expiration Date

05/31/2022

City

LAKEMOOR

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/23/2022