KATHLEEN NISIUS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000500

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

NISIUS

Business Name

KATHLEEN NISIUS

Original Issue Date

09/25/1992

Expiration Date

05/31/1998

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

09/04/2005