ELIZABETH A BUCKLEY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002273

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

BUCKLEY

Business Name

ELIZABETH A BUCKLEY

Original Issue Date

03/20/2006

Effective Date

06/23/2010

Expiration Date

05/31/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012