DEREK MICHAEL NEWGENT Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004917

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

MICHAEL

Last Name

NEWGENT

Business Name

DEREK MICHAEL NEWGENT

Original Issue Date

05/16/2019

Effective Date

05/31/2022

Expiration Date

05/31/2024

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/21/2025