ASHLEY ELIZABETH DEPEW Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004262

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ELIZABETH

Last Name

DEPEW

Business Name

ASHLEY ELIZABETH DEPEW

Original Issue Date

07/25/2016

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021