LAUREN RENEE WILLETT Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002644

License Status

INACTIVE

Business

First Name

LAUREN

Middle

RENEE

Last Name

WILLETT

Business Name

LAUREN RENEE WILLETT

Original Issue Date

08/11/2008

Effective Date

08/11/2008

Expiration Date

05/31/2010

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

03/05/2010