KELLY WAYNE KERSTEN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001616

License Status

INACTIVE

Business

First Name

KELLY

Middle

WAYNE

Last Name

KERSTEN

Business Name

KELLY WAYNE KERSTEN

Original Issue Date

03/22/2002

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

03/08/2020