ANGELA MARIE PRUSA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004319

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

PRUSA

Business Name

ANGELA MARIE PRUSA

Original Issue Date

08/31/2016

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

WILMINGTON

State

Zip

28411

Ever Disciplined

LastModifiedDate

01/14/2021