RYAN DONALD FARM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004392

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

DONALD

Last Name

FARM

Business Name

RYAN DONALD FARM

Original Issue Date

12/12/2016

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021