MICAH JOSEPH HOLLAND Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002501

License Status

INACTIVE

Business

First Name

MICAH

Middle

JOSEPH

Last Name

HOLLAND

Business Name

MICAH JOSEPH HOLLAND

Original Issue Date

08/27/2007

Effective Date

03/16/2012

Expiration Date

05/31/2014

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014