THEREN DWIGHT SWINFORD III Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002103

License Status

INACTIVE

Business

First Name

THEREN

Middle

DWIGHT

Last Name

SWINFORD

Suffix

III

Business Name

THEREN DWIGHT SWINFORD III

Original Issue Date

04/11/2005

Effective Date

04/11/2005

Expiration Date

05/31/2006

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/27/2006