ERIC DAVID DEPORTER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002770

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

DAVID

Last Name

DEPORTER

Business Name

ERIC DAVID DEPORTER

Original Issue Date

04/29/2009

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012