BETH MARIE SHEPHERD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002022

License Status

NOT RENEWED

Business

First Name

BETH

Middle

MARIE

Last Name

SHEPHERD

Business Name

BETH MARIE SHEPHERD

Original Issue Date

11/19/2004

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012