DAVID J DOMINGUESE - Athletic Trainer License in Wisconsin | # 096001279

DAVID J DOMINGUESE

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001279

License Status

INACTIVE

Business

N

First Name

DAVID

Middle

J

Last Name

DOMINGUESE

Business Name

DAVID J DOMINGUESE

Original Issue Date

09/08/1999

Effective Date

05/01/2002

Expiration Date

05/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005