MARY CAMILLE LAINGEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002863

License Status

INACTIVE

Business

First Name

MARY

Middle

CAMILLE

Last Name

LAINGEN

Business Name

MARY CAMILLE LAINGEN

Original Issue Date

10/27/2009

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/08/2020