TIMOTHY W BRANDT Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000552

License Status

INACTIVE

Business

First Name

TIMOTHY W

Last Name

BRANDT

Business Name

TIMOTHY W BRANDT

Original Issue Date

05/21/1993

Effective Date

04/04/2002

Expiration Date

05/31/2002

City

NEW PORT RICHEY

State

Zip

34655

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005