MICHELLE RUTH VAN TASSEL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005032

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RUTH

Last Name

VAN TASSEL

Business Name

MICHELLE RUTH VAN TASSEL

Original Issue Date

09/23/2019

Effective Date

09/23/2019

Expiration Date

09/30/2020

City

COLUMBUS

State

Zip

31906

Ever Disciplined

LastModifiedDate

01/14/2021