SHANNEN K FALCONER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003150

License Status

NOT RENEWED

Business

First Name

SHANNEN

Middle

Last Name

FALCONER

Business Name

SHANNEN K FALCONER

Original Issue Date

07/29/2011

Effective Date

04/02/2012

Expiration Date

05/31/2014

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014