JEFFERSON LEWIS HICKS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002920

License Status

NOT RENEWED

Business

First Name

JEFFERSON

Middle

LEWIS

Last Name

HICKS

Business Name

JEFFERSON LEWIS HICKS

Original Issue Date

06/03/2010

Effective Date

06/03/2010

Expiration Date

05/31/2012

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/10/2012