JEFFREY ALLYN MOSSBURG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000990

License Status

NOT RENEWED

Business

First Name

JEFFREY ALLYN

Last Name

MOSSBURG

Business Name

JEFFREY ALLYN MOSSBURG

Original Issue Date

04/23/1997

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005