SHAWN E PAYNE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000891

License Status

NOT RENEWED

Business

First Name

SHAWN E

Last Name

PAYNE

Business Name

SHAWN E PAYNE

Original Issue Date

08/22/1996

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

08/11/2010