ERICK ANTHONY BUITRAGO - Athletic Trainer License in Indiana | # 096002120

ERICK ANTHONY BUITRAGO

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002120

License Status

INACTIVE

Business

N

First Name

ERICK

Middle

ANTHONY

Last Name

BUITRAGO

Business Name

ERICK ANTHONY BUITRAGO

Original Issue Date

05/02/2005

Effective Date

05/02/2005

Expiration Date

05/31/2006

State

IN

Ever Disciplined

Y

LastModifiedDate

03/27/2006

Case Number

2004009724

Action

Fine

Discipline Start Date

04/29/2005

Discipline Reason

PRACTICED WITHOUT AN ATHLETIC TRAINER LICENSE.