License holder summary

CRYSTAL LORAINE SOUTHALL is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for CRYSTAL LORAINE SOUTHALL is Columbia KY 42728. This licensed professional license is not current. The license was granted 03/21/2005 and expired on 12/31/2006.

Pennsylvania

Department of State

CRYSTAL LORAINE SOUTHALL
Medicine - Athletic Trainer
License number
RT003715
Date granted
03/21/2005
Date expires
12/31/2006
Class
Medicine - Athletic Trainer
Status
Expired
Address
Columbia KY 42728
palicensing.org
ID 16618499
LAST UPDATED 2024-03-12 05:49:41 UTC

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