MARTHA M KOLASA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004493

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

KOLASA

Business Name

MARTHA M KOLASA

Original Issue Date

08/23/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021