JACLYN LEE MIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001524

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

LEE

Last Name

MIS

Business Name

JACLYN LEE MIS

Original Issue Date

08/06/2001

Effective Date

06/01/2004

Expiration Date

05/31/2006

City

LOCKPORT

State

Zip

60441

Ever Disciplined

LastModifiedDate

07/17/2006