BRIAN DAVID KOEHNE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001177

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

KOEHNE

Business Name

BRIAN DAVID KOEHNE

Original Issue Date

09/23/1998

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/11/2005