JAKE JEROME WITTENAUER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003130

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

JEROME

Last Name

WITTENAUER

Business Name

JAKE JEROME WITTENAUER

Original Issue Date

07/14/2011

Effective Date

07/14/2011

Expiration Date

05/31/2012

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/10/2012