LUIS ALFREDO RIVERA JR Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002760

License Status

INACTIVE

Business

First Name

LUIS

Middle

ALFREDO

Last Name

RIVERA

Suffix

Business Name

LUIS ALFREDO RIVERA JR

Original Issue Date

04/13/2009

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2012