MIMI KAY CLAYTON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000967

License Status

NOT RENEWED

Business

First Name

MIMI

Middle

KAY

Last Name

CLAYTON

Business Name

MIMI KAY CLAYTON

Original Issue Date

02/01/1997

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005