MINDY ELLEN BINGAMON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002225

License Status

NOT RENEWED

Business

First Name

MINDY

Middle

ELLEN

Last Name

BINGAMON

Business Name

MINDY ELLEN BINGAMON

Original Issue Date

10/13/2005

Effective Date

05/31/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014