SALLY A ROUSE PERKINS Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000083

License Status

INACTIVE

Business

First Name

SALLY A ROUSE

Last Name

PERKINS

Business Name

SALLY A ROUSE PERKINS

Original Issue Date

06/30/1986

Effective Date

05/15/2002

Expiration Date

05/31/2002

City

POUGHKEEPSIE

State

Zip

12603

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/11/2005