SAMANTHA RUTH SCHLACK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003933

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RUTH

Last Name

SCHLACK

Business Name

SAMANTHA RUTH SCHLACK

Original Issue Date

11/21/2014

Effective Date

08/09/2016

Expiration Date

05/31/2018

City

INDIANAPOLIS

State

Zip

46222

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018