CARRIE DOROTHY BURG Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001851

License Status

INACTIVE

Business

First Name

CARRIE

Middle

DOROTHY

Last Name

BURG

Business Name

CARRIE DOROTHY BURG

Original Issue Date

11/14/2003

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

WATERFORD

State

Zip

53185

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/01/2018