MATTISON NICOLE PEREZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003381

License Status

NOT RENEWED

Business

First Name

MATTISON

Middle

NICOLE

Last Name

PEREZ

Business Name

MATTISON NICOLE PEREZ

Original Issue Date

08/01/2012

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016