JOSEPH BLAKE KINGDON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003496

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

BLAKE

Last Name

KINGDON

Business Name

JOSEPH BLAKE KINGDON

Original Issue Date

11/27/2012

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021