MICHAEL THOMAS MOLINE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002362

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

MOLINE

Business Name

MICHAEL THOMAS MOLINE

Original Issue Date

09/06/2006

Effective Date

09/06/2006

Expiration Date

05/31/2008

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/07/2008