DARREN DUANE SIEDSCHLAG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001172

License Status

NOT RENEWED

Business

First Name

DARREN

Middle

DUANE

Last Name

SIEDSCHLAG

Business Name

DARREN DUANE SIEDSCHLAG

Original Issue Date

09/15/1998

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005