AMY LYNN FOLLMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001836

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

FOLLMAN

Business Name

AMY LYNN FOLLMAN

Original Issue Date

10/09/2003

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005