BRIAN WAYNE COLLETTE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001835

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

WAYNE

Last Name

COLLETTE

Business Name

BRIAN WAYNE COLLETTE

Original Issue Date

10/09/2003

Effective Date

03/07/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010