LUCY A SHAW Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003235

License Status

NOT RENEWED

Business

First Name

LUCY

Middle

Last Name

SHAW

Business Name

LUCY A SHAW

Original Issue Date

10/11/2011

Effective Date

04/28/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016