LACY L CHAPEL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002064

License Status

NOT RENEWED

Business

First Name

LACY

Middle

Last Name

CHAPEL

Business Name

LACY L CHAPEL

Original Issue Date

02/10/2005

Effective Date

03/24/2020

Expiration Date

05/31/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022