DEBRA R MITTLEMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002218

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

MITTLEMAN

Business Name

DEBRA R MITTLEMAN

Original Issue Date

10/06/2005

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010