MICHAEL PATRICK ROSE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001973

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

ROSE

Business Name

MICHAEL PATRICK ROSE

Original Issue Date

09/07/2004

Effective Date

09/18/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022

Case Number

2003003954

Action

Fine

Discipline Start Date

08/30/2004

Discipline Reason

Practiced without an athletic trainer license.