ADRIANNE M BOSWORTH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004033

License Status

NOT RENEWED

Business

First Name

ADRIANNE

Middle

Last Name

BOSWORTH

Business Name

ADRIANNE M BOSWORTH

Original Issue Date

08/11/2015

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/19/2018