MELANIE ANN BAUER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001777

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

ANN

Last Name

BAUER

Business Name

MELANIE ANN BAUER

Original Issue Date

04/10/2003

Effective Date

05/27/2004

Expiration Date

05/31/2006

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/08/2007