ERIC JONATHAN LAY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001308

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

JONATHAN

Last Name

LAY

Business Name

ERIC JONATHAN LAY

Original Issue Date

11/30/1999

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005