LORI M BALLARD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002320

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

BALLARD

Business Name

LORI M BALLARD

Original Issue Date

07/18/2006

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

WHITE HEATH

State

Zip

61884

County

PIATT

Ever Disciplined

LastModifiedDate

08/11/2010