JACOB LEE VILLAREAL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005187

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

LEE

Last Name

VILLAREAL

Business Name

JACOB LEE VILLAREAL

Original Issue Date

08/05/2020

Effective Date

08/05/2020

Expiration Date

05/31/2022

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

07/27/2022