CAROLYN LOUISE HAUBRICH Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001700

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

LOUISE

Last Name

HAUBRICH

Business Name

CAROLYN LOUISE HAUBRICH

Original Issue Date

09/24/2002

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

CORAM

State

Zip

11727

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/07/2016