License holder summary

Lisa Ann Basarab is a Athletic Trainer licensed to practice in Georgia. The address on file for Lisa Ann Basarab is 1609 Mallard Nest Way Jacksonville FL 32259, Saint Johns. This licensed professional license is current. The license was granted 08/01/2012 and expired on 06/30/2014.

Georgia

Professional Licensing Board

Lisa Ann Basarab
Athletic Trainer
License number
AT002099
Date granted
08/01/2012
Date expires
06/30/2014
Class
Athletic Trainer
Status
Active
Address
1609 Mallard Nest Way Jacksonville FL 32259
georgialicensing.com
ID 2493433
LAST UPDATED 2024-02-29 23:02:42 UTC

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