TAYLOR ANNE SULLIVAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003593

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

ANNE

Last Name

SULLIVAN

Business Name

TAYLOR ANNE SULLIVAN

Original Issue Date

08/20/2013

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/11/2016