DERRICK MICHAEL BROWN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001390

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

MICHAEL

Last Name

BROWN

Business Name

DERRICK MICHAEL BROWN

Original Issue Date

08/28/2000

Effective Date

04/30/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60615

Ever Disciplined

LastModifiedDate

05/08/2007