DEAN R BORDEAUX JR Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000213

License Status

INACTIVE

Business

First Name

DEAN R

Last Name

BORDEAUX JR

Business Name

DEAN R BORDEAUX JR

Original Issue Date

07/06/1987

Expiration Date

07/06/1993

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/04/2005