LORA J FREDRICKSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002394

License Status

NOT RENEWED

Business

First Name

LORA

Middle

Last Name

FREDRICKSON

Business Name

LORA J FREDRICKSON

Original Issue Date

11/14/2006

Effective Date

11/14/2006

Expiration Date

05/31/2008

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2008