DANIEL ROSS DLUBALA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003236

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ROSS

Last Name

DLUBALA

Business Name

DANIEL ROSS DLUBALA

Original Issue Date

10/12/2011

Effective Date

05/08/2014

Expiration Date

05/31/2016

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/11/2016