DAVID J DOMINGUESE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001279

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

DOMINGUESE

Business Name

DAVID J DOMINGUESE

Original Issue Date

09/08/1999

Effective Date

05/01/2002

Expiration Date

05/31/2002

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005