SAMANTHA NICHOLE FALK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003686

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

NICHOLE

Last Name

FALK

Business Name

SAMANTHA NICHOLE FALK

Original Issue Date

10/04/2013

Effective Date

04/02/2014

Expiration Date

05/31/2016

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

07/11/2016