HEIDI BETH SMITH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001210

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

BETH

Last Name

SMITH

Business Name

HEIDI BETH SMITH

Original Issue Date

12/28/1998

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

TERRE HAUTE

State

Zip

47804

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005