MICHAEL J BOLAND Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003500

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BOLAND

Business Name

MICHAEL J BOLAND

Original Issue Date

12/05/2012

Effective Date

04/28/2014

Expiration Date

05/31/2016

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/11/2016