BETH ANN POUK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000135

License Status

NOT RENEWED

Business

First Name

BETH ANN

Last Name

POUK

Business Name

BETH ANN POUK

Original Issue Date

08/13/1986

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/19/2018