NATHAN TAYLOR SHELSTA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001669

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

TAYLOR

Last Name

SHELSTA

Business Name

NATHAN TAYLOR SHELSTA

Original Issue Date

07/10/2002

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

01/14/2021