The holder whose full name is Banda, Carole Lorraine,come from South Bend IN,hold the Athletic Trainer license(NO.36000061A) which status is Expired.
| Name | Banda, Carole Lorraine |
|---|---|
| License Number | 36000061A |
| License Type | Athletic Trainer |
| License Status | Expired |
| City | South Bend |
| State | IN |