RYAN N CLARK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001402

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

CLARK

Business Name

RYAN N CLARK

Original Issue Date

09/14/2000

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005