KRISTINA KAY MORMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003104

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

KAY

Last Name

MORMAN

Business Name

KRISTINA KAY MORMAN

Original Issue Date

05/12/2011

Effective Date

05/12/2011

Expiration Date

05/31/2012

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012