TIMOTHY MICHAEL MANGOLD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001974

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

MANGOLD

Business Name

TIMOTHY MICHAEL MANGOLD

Original Issue Date

09/08/2004

Effective Date

05/25/2010

Expiration Date

05/31/2012

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

07/10/2012