TIMOTHY MICHAEL KELLY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003893

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

KELLY

Business Name

TIMOTHY MICHAEL KELLY

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

05/31/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/11/2016