ASHLEY RAE GIFFORD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001838

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

RAE

Last Name

GIFFORD

Business Name

ASHLEY RAE GIFFORD

Original Issue Date

10/20/2003

Effective Date

05/21/2004

Expiration Date

05/31/2006

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/17/2006