NICHOLE ELIZABETH JEISY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002873

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ELIZABETH

Last Name

JEISY

Business Name

NICHOLE ELIZABETH JEISY

Original Issue Date

11/25/2009

Effective Date

04/18/2016

Expiration Date

05/31/2018

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/19/2018