SHANE BRODIE BROWN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000672

License Status

NOT RENEWED

Business

First Name

SHANE BRODIE

Last Name

BROWN

Business Name

SHANE BRODIE BROWN

Original Issue Date

12/21/1994

Effective Date

06/01/2012

Expiration Date

05/31/2014

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

07/03/2014