ANITA M COENEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001696

License Status

INACTIVE

Business

First Name

ANITA

Middle

Last Name

COENEN

Business Name

ANITA M COENEN

Original Issue Date

09/24/2002

Effective Date

05/19/2004

Expiration Date

05/31/2004

City

ALTOONA

State

Zip

54720

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005