CHANGMIN PARK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003108

License Status

NOT RENEWED

Business

First Name

CHANGMIN

Last Name

PARK

Business Name

CHANGMIN PARK

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

05/31/2012

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012