CASEY ANN NEWGENT Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002650

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

ANN

Last Name

NEWGENT

Business Name

CASEY ANN NEWGENT

Original Issue Date

08/18/2008

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012