PATRICIA E LACY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000553

License Status

NOT RENEWED

Business

First Name

PATRICIA E

Last Name

LACY

Business Name

PATRICIA E LACY

Original Issue Date

05/21/1993

Expiration Date

05/31/1996

City

EARLYSVILLE

State

Zip

22936

Ever Disciplined

LastModifiedDate

09/04/2005