KEITH ALLEN VAN SOELEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003273

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ALLEN

Last Name

VAN SOELEN

Business Name

KEITH ALLEN VAN SOELEN

Original Issue Date

11/23/2011

Effective Date

11/23/2011

Expiration Date

05/31/2012

City

JACKSONVILLE

State

Zip

32259

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/10/2012