RUSSELL A LEE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003331

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

LEE

Business Name

RUSSELL A LEE

Original Issue Date

05/08/2012

Effective Date

09/04/2020

Expiration Date

05/31/2022

City

QUINCY

State

Zip

62305

County

PIKE

Ever Disciplined

LastModifiedDate

07/27/2022