JERRY L SULLIVAN JR Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000548

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

SULLIVAN

Suffix

Business Name

JERRY L SULLIVAN JR

Original Issue Date

05/21/1993

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

07/10/2012