AMANDA SUE LONG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002884

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUE

Last Name

LONG

Business Name

AMANDA SUE LONG

Original Issue Date

02/17/2010

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012