TRACY A MIZE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000909

License Status

NOT RENEWED

Business

First Name

TRACY A

Last Name

MIZE

Business Name

TRACY A MIZE

Original Issue Date

10/03/1996

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

07/03/2014