BETH MARIE SHEPHERD - Athletic Trainer License in Illinois | # 096002022

BETH MARIE SHEPHERD

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002022

License Status

NOT RENEWED

Business

N

First Name

BETH

Middle

MARIE

Last Name

SHEPHERD

Business Name

BETH MARIE SHEPHERD

Original Issue Date

11/19/2004

Effective Date

03/30/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012