JAY J DAVIDE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000328

License Status

NOT RENEWED

Business

First Name

JAY J

Last Name

DAVIDE

Business Name

JAY J DAVIDE

Original Issue Date

04/19/1990

Expiration Date

04/19/1992

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005