CRYSTAL RAYE BERGMANN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002056

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

RAYE

Last Name

BERGMANN

Business Name

CRYSTAL RAYE BERGMANN

Original Issue Date

01/26/2005

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

VENEDY

State

Zip

62214

County

WASHINGTON

Ever Disciplined

LastModifiedDate

08/11/2010

Case Number

2004008621

Action

Reprimand

Discipline Start Date

01/19/2005

Discipline Reason

PRACTICED PRIOR TO LICENSURE IN ILLINOIS.