COLIN MICHAEL BRODERICK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004761

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

MICHAEL

Last Name

BRODERICK

Business Name

COLIN MICHAEL BRODERICK

Original Issue Date

10/01/2018

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

01/14/2021