JEREMY BRENT HAAS Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001671

License Status

INACTIVE

Business

First Name

JEREMY

Middle

BRENT

Last Name

HAAS

Business Name

JEREMY BRENT HAAS

Original Issue Date

07/17/2002

Effective Date

09/09/2004

Expiration Date

05/31/2006

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/27/2006