PATRICIA ANN MOEN - Athletic Trainer License in Illinois | # 096001286

PATRICIA ANN MOEN

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001286

License Status

INACTIVE

Business

N

First Name

PATRICIA

Middle

ANN

Last Name

MOEN

Business Name

PATRICIA ANN MOEN

Original Issue Date

09/22/1999

Effective Date

05/19/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

03/07/2016