JACQUELINE D LARSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003099

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

LARSON

Business Name

JACQUELINE D LARSON

Original Issue Date

04/20/2011

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

ARLINGTON HEIGHTS

State

Zip

60003

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022