TERRY L GUPTILL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000214

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

GUPTILL

Business Name

TERRY L GUPTILL

Original Issue Date

07/18/1987

Expiration Date

07/18/1989

City

PHOENIX

State

Zip

85037

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/04/2005