NATALIE R POLAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005239

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

POLAN

Business Name

NATALIE R POLAN

Original Issue Date

10/16/2020

Effective Date

10/16/2020

Expiration Date

05/31/2022

City

HARTLAND

State

Zip

53029

Ever Disciplined

LastModifiedDate

07/27/2022