MICHAEL S WEISBERG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002047

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WEISBERG

Business Name

MICHAEL S WEISBERG

Original Issue Date

01/11/2005

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

08/11/2010