KIRSTEN AMANDA VON ZYCHLIN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002807

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

AMANDA

Last Name

VON ZYCHLIN

Business Name

KIRSTEN AMANDA VON ZYCHLIN

Original Issue Date

07/29/2009

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

APPLETON

State

Zip

54913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2014