KATHLEEN YVONNE LOPEZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003035

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

YVONNE

Last Name

LOPEZ

Business Name

KATHLEEN YVONNE LOPEZ

Original Issue Date

10/01/2010

Effective Date

03/11/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018