TIMOTHY WILLIAM PIECZARA Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005414

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

WILLIAM

Last Name

PIECZARA

Business Name

TIMOTHY WILLIAM PIECZARA

Original Issue Date

09/09/2021

Effective Date

05/23/2022

Expiration Date

05/31/2024

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

04/02/2024