ERICK ANTHONY BUITRAGO Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002120

License Status

INACTIVE

Business

First Name

ERICK

Middle

ANTHONY

Last Name

BUITRAGO

Business Name

ERICK ANTHONY BUITRAGO

Original Issue Date

05/02/2005

Effective Date

05/02/2005

Expiration Date

05/31/2006

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

03/27/2006

Case Number

2004009724

Action

Reprimand

Discipline Start Date

04/29/2005

Discipline Reason

PRACTICED WITHOUT AN ATHLETIC TRAINER LICENSE.