SHAYNE NOELLE LEWIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004284

License Status

NOT RENEWED

Business

First Name

SHAYNE

Middle

NOELLE

Last Name

LEWIS

Business Name

SHAYNE NOELLE LEWIS

Original Issue Date

08/02/2016

Effective Date

07/30/2020

Expiration Date

05/31/2022

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022