CAROLYN LOUISE HAUBRICH - Athletic Trainer License in New York | # 096001700

CAROLYN LOUISE HAUBRICH

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001700

License Status

INACTIVE

Business

N

First Name

CAROLYN

Middle

LOUISE

Last Name

HAUBRICH

Business Name

CAROLYN LOUISE HAUBRICH

Original Issue Date

09/24/2002

Effective Date

05/05/2014

Expiration Date

05/31/2016

State

NY

Ever Disciplined

N

LastModifiedDate

03/07/2016