MEGAN DIANE HOUSEMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003321

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

DIANE

Last Name

HOUSEMAN

Business Name

MEGAN DIANE HOUSEMAN

Original Issue Date

03/14/2012

Effective Date

06/05/2014

Expiration Date

05/31/2016

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

07/11/2016