JACQUELINE CHRISTINE KERKMAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001699

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

CHRISTINE

Last Name

KERKMAN

Business Name

JACQUELINE CHRISTINE KERKMAN

Original Issue Date

09/24/2002

Effective Date

05/25/2004

Expiration Date

05/31/2004

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005