CHARLES E HAGEMAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000595

License Status

INACTIVE

Business

First Name

CHARLES E

Last Name

HAGEMAN

Business Name

CHARLES E HAGEMAN

Original Issue Date

12/09/1993

Effective Date

05/26/2004

Expiration Date

05/31/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/11/2005