S SCOTT FISCUS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001679

License Status

NOT RENEWED

Business

First Name

Middle

SCOTT

Last Name

FISCUS

Business Name

S SCOTT FISCUS

Original Issue Date

08/23/2002

Effective Date

06/03/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/17/2006