BRIAN DAVID EGGLESTON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001348

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

EGGLESTON

Business Name

BRIAN DAVID EGGLESTON

Original Issue Date

03/21/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005