ANNA A SANDOVAL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002903

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

SANDOVAL

Business Name

ANNA A SANDOVAL

Original Issue Date

04/21/2010

Effective Date

05/17/2012

Expiration Date

05/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/03/2014