NICOLE A GARDNER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003946

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

GARDNER

Business Name

NICOLE A GARDNER

Original Issue Date

12/31/2014

Effective Date

12/31/2014

Expiration Date

05/31/2016

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/11/2016