MARISSA JAE BASAR Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004025

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

JAE

Last Name

BASAR

Business Name

MARISSA JAE BASAR

Original Issue Date

08/10/2015

Effective Date

04/22/2016

Expiration Date

05/31/2018

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2018