Susan K Long
InactiveIllinois license 096000410
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096000410
- Status
- Inactive
- First issued
- June 25, 1992
- Expired
- May 31, 2012
- License holder
- Susan K Long
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 05/23/2011
Contact
Fort Atkinson, WI 53538
Jefferson County