JOHN MARTIN BULTMANN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002751

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARTIN

Last Name

BULTMANN

Business Name

JOHN MARTIN BULTMANN

Original Issue Date

03/04/2009

Effective Date

07/08/2010

Expiration Date

05/31/2012

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

07/10/2012