KATHRYN CLARK DECKER DPM - Athletic Trainer License in Ohio | # 096001960

KATHRYN CLARK DECKER DPM

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001960

License Status

INACTIVE

Business

N

Title

DPM

First Name

KATHRYN

Middle

CLARK

Last Name

DECKER

Business Name

KATHRYN CLARK DECKER DPM

Original Issue Date

08/27/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

OH

Ever Disciplined

N

LastModifiedDate

03/07/2008