JOSHUA SMALLWOOD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003464

License Status

NOT RENEWED

Business

First Name

JOSHUA

Last Name

SMALLWOOD

Business Name

JOSHUA SMALLWOOD

Original Issue Date

10/04/2012

Effective Date

10/04/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014