NATHAN MICHAEL STAHL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004302

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

MICHAEL

Last Name

STAHL

Business Name

NATHAN MICHAEL STAHL

Original Issue Date

08/10/2016

Effective Date

08/10/2016

Expiration Date

05/31/2018

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018