E JOSEPH HAYWOOD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000196

License Status

NOT RENEWED

Business

First Name

E JOSEPH

Last Name

HAYWOOD

Business Name

E JOSEPH HAYWOOD

Original Issue Date

04/24/1987

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/14/2021