ANNA J PETERSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004975

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

PETERSEN

Business Name

ANNA J PETERSEN

Original Issue Date

08/22/2019

Effective Date

08/22/2019

Expiration Date

09/30/2020

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021