License holder summary

Angelique Durocher Black is a Athletic Trainer licensed to practice in Georgia. The address on file for Angelique Durocher Black is 2415 Beckenham Place Dacula GA 30019. This licensed professional license is not current. The license was granted 05/01/2002 and expired on 06/30/2004.

Georgia

Professional Licensing Board

Angelique Durocher Black
Athletic Trainer
License number
AT000876
Date granted
05/01/2002
Date expires
06/30/2004
Class
Athletic Trainer
Status
Lapsed
Address
2415 Beckenham Place Dacula GA 30019
georgialicensing.com
ID 2493701
LAST UPDATED 2026-03-31 20:15:37 UTC

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