JESSICA JO GROTH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002479

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

GROTH

Business Name

JESSICA JO GROTH

Original Issue Date

08/01/2007

Effective Date

08/01/2007

Expiration Date

05/31/2008

City

PLAINFIELD

State

Zip

50666

County

IOWA

Ever Disciplined

LastModifiedDate

07/11/2008