KATHRYN CLARK DECKER DPM Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001960

License Status

INACTIVE

Business

Title

DPM

First Name

KATHRYN

Middle

CLARK

Last Name

DECKER

Business Name

KATHRYN CLARK DECKER DPM

Original Issue Date

08/27/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

NEW ALBANY

State

Zip

43054

County

OHIO

Ever Disciplined

LastModifiedDate

03/07/2008