ROBERT OWEN ALFHEIM Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001926

License Status

INACTIVE

Business

First Name

ROBERT

Middle

OWEN

Last Name

ALFHEIM

Business Name

ROBERT OWEN ALFHEIM

Original Issue Date

04/19/2004

Effective Date

04/19/2004

Expiration Date

05/31/2006

City

WARWICK

State

Zip

10990

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/27/2006

Case Number

2004002877

Action

Reprimand

Discipline Start Date

12/28/2004

Discipline Reason

PRACTICED PRIOR TO LICENSURE IN ILLINOIS.