EILEEN K. BENNETT Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005252

License Status

INACTIVE

Business

First Name

EILEEN

Middle

Last Name

BENNETT

Business Name

EILEEN K. BENNETT

Original Issue Date

11/04/2020

Effective Date

05/20/2022

Expiration Date

05/31/2024

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

05/28/2024