TRAVIS GRANT SWICK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001268

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

GRANT

Last Name

SWICK

Business Name

TRAVIS GRANT SWICK

Original Issue Date

08/12/1999

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005