DAVID A FLORES Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002007

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

FLORES

Business Name

DAVID A FLORES

Original Issue Date

10/18/2004

Effective Date

10/18/2004

Expiration Date

05/31/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/17/2006