DEBORAH ELIZABETH STORM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003608

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ELIZABETH

Last Name

STORM

Business Name

DEBORAH ELIZABETH STORM

Original Issue Date

08/26/2013

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021