JACOB THOMAS BRUNEMANN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004113

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

THOMAS

Last Name

BRUNEMANN

Business Name

JACOB THOMAS BRUNEMANN

Original Issue Date

09/08/2015

Effective Date

08/11/2016

Expiration Date

05/31/2018

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/19/2018