License holder summary

ELLEN MARIE FUKUZAWA is a Athletic Trainer - Athletic Trainer licensed to practice in Michigan. This licensed professional license is not current. The license was granted 04/07/2011 and expired on 09/30/2014.

Michigan

Department of Licensing and Regulation

ELLEN MARIE FUKUZAWA
Athletic Trainer - Athletic Trainer
License number
2601000830
Date granted
04/07/2011
Date expires
09/30/2014
Class
Athletic Trainer - Athletic Trainer
Status
Lapsed
Address
michiganlicensing.org
ID 25732187
LAST UPDATED 2024-02-19 01:56:41 UTC

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