TAD DEAN LEUSCH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001768

License Status

NOT RENEWED

Business

First Name

TAD

Middle

DEAN

Last Name

LEUSCH

Business Name

TAD DEAN LEUSCH

Original Issue Date

03/24/2003

Effective Date

04/02/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/17/2006