TANYA MARY TENNESSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001977

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

MARY

Last Name

TENNESSEN

Business Name

TANYA MARY TENNESSEN

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

05/31/2006

City

LANCASTER

State

Zip

53813

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/17/2006