CHANGMIN PARK - Athletic Trainer License in Wisconsin | # 096003108

CHANGMIN PARK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003108

License Status

NOT RENEWED

Business

N

First Name

CHANGMIN

Last Name

PARK

Business Name

CHANGMIN PARK

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

05/31/2012

State

WI

Ever Disciplined

N

LastModifiedDate

07/10/2012