TAYLOR MARIE KRUSE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004555

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

MARIE

Last Name

KRUSE

Business Name

TAYLOR MARIE KRUSE

Original Issue Date

10/23/2017

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021