ZACHARY WALTER BLASZAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002673

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

WALTER

Last Name

BLASZAK

Business Name

ZACHARY WALTER BLASZAK

Original Issue Date

09/09/2008

Effective Date

05/14/2012

Expiration Date

05/31/2014

City

LAWRENCE

State

Zip

01843

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

07/03/2014