JACQUELINE K WISE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000391

License Status

INACTIVE

Business

First Name

JACQUELINE K

Last Name

WISE

Business Name

JACQUELINE K WISE

Original Issue Date

05/22/1991

Effective Date

04/28/2000

Expiration Date

05/31/2000

City

MIDDLEBURG HEIGHTS

State

Zip

44130

County

OHIO

Ever Disciplined

LastModifiedDate

09/11/2005