LORA J FREDRICKSON - Athletic Trainer License in Illinois | # 096002394

LORA J FREDRICKSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002394

License Status

NOT RENEWED

Business

N

First Name

LORA

Middle

J

Last Name

FREDRICKSON

Business Name

LORA J FREDRICKSON

Original Issue Date

11/14/2006

Effective Date

11/14/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008