JAMES PAUL FREDERICKSON - Athletic Trainer License in Wisconsin | # 096004620

JAMES PAUL FREDERICKSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004620

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

PAUL

Last Name

FREDERICKSON

Business Name

JAMES PAUL FREDERICKSON

Original Issue Date

01/30/2018

Effective Date

05/21/2018

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021