KIRSTEN JUNE FREDERICK FUMAGALLI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002223

License Status

NOT RENEWED

Business

First Name

KIRSTEN JUNE

Middle

FREDERICK

Last Name

FUMAGALLI

Business Name

KIRSTEN JUNE FREDERICK FUMAGALLI

Original Issue Date

10/13/2005

Effective Date

05/19/2016

Expiration Date

05/31/2018

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018