DEBORAH ANN QUACKENBUSH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001078

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

QUACKENBUSH

Business Name

DEBORAH ANN QUACKENBUSH

Original Issue Date

12/10/1997

Expiration Date

05/31/2000

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

09/11/2005