PAMELA A MARTIN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001270

License Status

INACTIVE

Business

First Name

PAMELA

Middle

Last Name

MARTIN

Business Name

PAMELA A MARTIN

Original Issue Date

08/17/1999

Effective Date

05/21/2004

Expiration Date

05/31/2006

City

BOISE

State

Zip

83714

County

IDAHO

Ever Disciplined

LastModifiedDate

03/27/2006