KRISTINA ANN SULLIVAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002217

License Status

INACTIVE

Business

First Name

KRISTINA

Middle

ANN

Last Name

SULLIVAN

Business Name

KRISTINA ANN SULLIVAN

Original Issue Date

10/03/2005

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

SAINT LOUIS

State

Zip

63109

Ever Disciplined

LastModifiedDate

03/08/2012