NICHELLE M ENATA MD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003801

License Status

NOT RENEWED

Business

Title

First Name

NICHELLE

Middle

Last Name

ENATA

Business Name

NICHELLE M ENATA MD

Original Issue Date

08/07/2014

Effective Date

08/07/2014

Expiration Date

05/31/2016

City

SHAKER HEIGHTS

State

Zip

44122

Ever Disciplined

LastModifiedDate

07/11/2016