JOSEPH F DEBLIECK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001638

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

DEBLIECK

Business Name

JOSEPH F DEBLIECK

Original Issue Date

04/30/2002

Effective Date

03/11/2010

Expiration Date

05/31/2012

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/10/2012