BRYAN JOSEPH DOMITRZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004969

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

JOSEPH

Last Name

DOMITRZ

Business Name

BRYAN JOSEPH DOMITRZ

Original Issue Date

08/20/2019

Effective Date

04/30/2022

Expiration Date

05/31/2024

City

EAST TROY

State

Zip

53120

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/21/2025