LISA L LAZAR Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005306

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

LAZAR

Business Name

LISA L LAZAR

Original Issue Date

04/08/2021

Effective Date

04/08/2021

Expiration Date

05/31/2022

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022