MICHAEL S BENNINGTON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001251

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BENNINGTON

Business Name

MICHAEL S BENNINGTON

Original Issue Date

06/23/1999

Effective Date

03/20/2020

Expiration Date

05/31/2022

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022