LAURA ELAINE VICK Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002946

License Status

INACTIVE

Business

First Name

LAURA

Middle

ELAINE

Last Name

VICK

Business Name

LAURA ELAINE VICK

Original Issue Date

07/19/2010

Effective Date

07/19/2010

Expiration Date

05/31/2012

City

COTTAGE GROVE

State

Zip

53527

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2012