DEAN JOHN BEAUCHAMP Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000508

License Status

NOT RENEWED

Business

First Name

DEAN JOHN

Last Name

BEAUCHAMP

Business Name

DEAN JOHN BEAUCHAMP

Original Issue Date

09/25/1992

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005