RENEE MARIE MANOFSKY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001840

License Status

INACTIVE

Business

First Name

RENEE

Middle

MARIE

Last Name

MANOFSKY

Business Name

RENEE MARIE MANOFSKY

Original Issue Date

10/21/2003

Effective Date

04/02/2004

Expiration Date

05/31/2006

City

GREENFIELD

State

Zip

53221

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/27/2006