BRIAN MICHAEL BOSCH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002954

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

BOSCH

Business Name

BRIAN MICHAEL BOSCH

Original Issue Date

07/27/2010

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/11/2016