LESLIE RUBEL FROST Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002210

License Status

INACTIVE

Business

First Name

LESLIE

Middle

RUBEL

Last Name

FROST

Business Name

LESLIE RUBEL FROST

Original Issue Date

09/20/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/07/2008