BRAD ALLAN ANDERSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005009

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

ALLAN

Last Name

ANDERSON

Business Name

BRAD ALLAN ANDERSON

Original Issue Date

09/10/2019

Effective Date

04/30/2020

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61701

County

CALHOUN

Ever Disciplined

LastModifiedDate

07/27/2022