TARAH GENE GOLLIAS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002159

License Status

NOT RENEWED

Business

First Name

TARAH

Middle

GENE

Last Name

GOLLIAS

Business Name

TARAH GENE GOLLIAS

Original Issue Date

07/06/2005

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

07/10/2012