CARLA E LARSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000516

License Status

NOT RENEWED

Business

First Name

CARLA E

Last Name

LARSON

Business Name

CARLA E LARSON

Original Issue Date

12/01/1992

Expiration Date

05/31/1998

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/04/2005