ANASTASIA J BERKLEY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003067

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

BERKLEY

Business Name

ANASTASIA J BERKLEY

Original Issue Date

12/23/2010

Effective Date

12/23/2010

Expiration Date

05/31/2012

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/10/2012