KATHLEEN ANN PICHOTTA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003442

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ANN

Last Name

PICHOTTA

Business Name

KATHLEEN ANN PICHOTTA

Original Issue Date

09/14/2012

Effective Date

05/20/2014

Expiration Date

05/31/2016

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016