BRIDGET ANN VAN BOXTEL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002717

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

ANN

Last Name

VAN BOXTEL

Business Name

BRIDGET ANN VAN BOXTEL

Original Issue Date

10/22/2008

Effective Date

10/22/2008

Expiration Date

05/31/2010

City

KIMBERLY

State

Zip

54136

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/11/2010