RONDA MAE ELLEVOLD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002172

License Status

NOT RENEWED

Business

First Name

RONDA

Middle

MAE

Last Name

ELLEVOLD

Business Name

RONDA MAE ELLEVOLD

Original Issue Date

08/12/2005

Effective Date

08/12/2005

Expiration Date

05/31/2006

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2006