G MICHAEL WHITE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001359

License Status

NOT RENEWED

Business

First Name

Middle

MICHAEL

Last Name

WHITE

Business Name

G MICHAEL WHITE

Original Issue Date

06/06/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/11/2005