DANIEL A STEPHENS Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000366

License Status

INACTIVE

Business

First Name

DANIEL A

Last Name

STEPHENS

Business Name

DANIEL A STEPHENS

Original Issue Date

11/28/1990

Effective Date

03/28/2012

Expiration Date

05/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2014