KATHRYN A BASAR Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000361

License Status

NOT RENEWED

Business

First Name

KATHRYN A

Last Name

BASAR

Business Name

KATHRYN A BASAR

Original Issue Date

11/21/1990

Expiration Date

05/31/1998

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

09/04/2005