ISSEI MIYAGUCHI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004798

License Status

NOT RENEWED

Business

First Name

ISSEI

Last Name

MIYAGUCHI

Business Name

ISSEI MIYAGUCHI

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021