SAVANNAH M FOWLER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005156

License Status

NOT RENEWED

Business

First Name

SAVANNAH

Middle

Last Name

FOWLER

Business Name

SAVANNAH M FOWLER

Original Issue Date

06/03/2020

Effective Date

06/03/2020

Expiration Date

05/31/2022

City

CEDAR RAPIDS

State

Zip

52404

Ever Disciplined

LastModifiedDate

07/27/2022