MARISSA ANN SIMON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001288

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

ANN

Last Name

SIMON

Business Name

MARISSA ANN SIMON

Original Issue Date

09/22/1999

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005