HEATHER LEIGH KELLY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002088

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

LEIGH

Last Name

KELLY

Business Name

HEATHER LEIGH KELLY

Original Issue Date

03/21/2005

Effective Date

03/21/2005

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

07/17/2006

Case Number

2005000254

Action

Fine

Discipline Start Date

03/17/2005

Discipline Reason

Unlicensed practice as an athletic trainer.