KIMBERLY A LATHAM - Athletic Trainer License in Illinois | # 096000630

KIMBERLY A LATHAM

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000630

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY A

Last Name

LATHAM

Business Name

KIMBERLY A LATHAM

Original Issue Date

05/09/1994

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005