CRYSTAL RAYE BERGMANN - Athletic Trainer License in Illinois | # 096002056

CRYSTAL RAYE BERGMANN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002056

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Middle

RAYE

Last Name

BERGMANN

Business Name

CRYSTAL RAYE BERGMANN

Original Issue Date

01/26/2005

Effective Date

03/07/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

Y

LastModifiedDate

08/11/2010

Case Number

2004008621

Action

Fine

Discipline Start Date

01/19/2005

Discipline Reason

PRACTICED PRIOR TO LICENSURE IN ILLINOIS.