KRISTIN MAHEALANI PUALOA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001864

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MAHEALANI

Last Name

PUALOA

Business Name

KRISTIN MAHEALANI PUALOA

Original Issue Date

12/12/2003

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

HERNDON

State

Zip

20170

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/11/2005