MICHELLE D DEBOER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000251

License Status

NOT RENEWED

Business

First Name

MICHELLE D

Last Name

DEBOER

Business Name

MICHELLE D DEBOER

Original Issue Date

05/01/1988

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/11/2016