HEATHER R WARD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001424

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

WARD

Business Name

HEATHER R WARD

Original Issue Date

10/03/2000

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

08/11/2010